Individual
REBEKAH JOY SAMUEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
10001 LILE DR, LITTLE ROCK, AR 72205-6217
(501) 227-8000
Mailing address
11819 MAUMELLE BLVD, NORTH LITTLE ROCK, AR 72113-6567
(501) 771-9355
(501) 771-9360
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A003607
AR
Other
Enumeration date
11/07/2011
Last updated
10/12/2016
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