Individual
DESTINI ROLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-C
Contact information
Practice address
8907 KANIS RD STE 330, LITTLE ROCK, AR 72205-6451
(501) 224-8810
Mailing address
8907 KANIS RD STE 330, LITTLE ROCK, AR 72205-6451
(501) 224-8810
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
225693
AR
Other
Enumeration date
08/07/2023
Last updated
08/07/2023
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