Individual
TINA MARIA BERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
9601 BAPTIST HEALTH DR, LITTLE ROCK, AR 72205-6321
(501) 202-2300
(501) 202-1449
Mailing address
9601 BAPTIST HEALTH DR, LITTLE ROCK, AR 72205-6321
(501) 202-2300
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
A005305
AR
363LF0000X
Family Nurse Practitioner
Primary
A005305
AR
Other
Enumeration date
08/02/2017
Last updated
09/18/2019
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