Individual
ZACKARY DALTON COCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MNSC, APRN, PMHNP-BC
Contact information
Practice address
10816 EXECUTIVE CENTER DR STE 104, LITTLE ROCK, AR 72211-4381
(501) 506-1587
(501) 298-2165
Mailing address
10816 EXECUTIVE CENTER DR STE 104, LITTLE ROCK, AR 72211-4381
(501) 506-1587
(501) 298-2165
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
120487
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
120487
ARKANSAS BOARD OF NURSING - APRN - CNP LICENSE
AR
01
—
R101597
ARKANSAS BOARD OF NURSING - RN LICENSE
AR
Enumeration date
10/19/2017
Last updated
05/04/2025
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