Individual
ALYSSA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 CHILDRENS WAY, LITTLE ROCK, AR 72202-3500
(501) 364-1370
Mailing address
10917 LORI KAYE DR, NORTH LITTLE ROCK, AR 72113-7814
(870) 250-1558
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
219907
AR
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
01/29/2024
Last updated
05/01/2026
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