Individual
NAN MEANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
3633 CENTRAL AVE STE N, HOT SPRINGS, AR 71913-6475
(501) 623-6100
(501) 321-4057
Mailing address
3633 CENTRAL AVE STE N, HOT SPRINGS, AR 71913-6475
(501) 623-6100
(501) 321-4057
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
ATP-000194
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
178190758
—
AR
01
—
A003221
STATE LICENSE
AR
Enumeration date
02/19/2009
Last updated
08/20/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us