Individual
CLARE K TILLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1 CHILDRENS WAY FL 1, LITTLE ROCK, AR 72202-3500
(501) 236-4945
(501) 978-6440
Mailing address
PO BOX 251418, LITTLE ROCK, AR 72225-1418
(501) 364-1100
(501) 364-4082
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
219150
AR
Other
Enumeration date
07/22/2022
Last updated
08/31/2022
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