Individual
JUSTIN W BILLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
11401 INTERSTATE 30, LITTLE ROCK, AR 72209-7042
(501) 455-7100
(501) 455-7399
Mailing address
1011 OUACHITA 67, CAMDEN, AR 71701-8803
(870) 231-6222
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R66764
AR
367500000X
Certified Registered Nurse Anesthetist
Primary
C02625
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5P024
BCBS
AR
01
—
P00373015
RR MEDICARE GROUP CK6327
AR
Enumeration date
09/19/2006
Last updated
03/28/2008
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