# AMANDA J RYALS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1780342196
- **Authorized official:** AMANDA RYALS APRN (OWNER)
- **Authorized official phone:** (501) 993-4307

## Contact information

- **Practice address:** 2504 MCCAIN BLVD STE 200, NORTH LITTLE ROCK, AR 72116-7612
- **Practice address phone:** (501) 781-2230
- **Practice address fax:** (833) 226-0134
- **Mailing address:** 2504 MCCAIN BLVD STE 200, NORTH LITTLE ROCK, AR 72116-7612
- **Mailing address phone:** (501) 781-2230
- **Mailing address fax:** (833) 226-0134

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 12/02/2021
- **Last updated:** 09/12/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 275566758 | — | AR |