Individual
ALISHA NICOLE GRAY MCCOOL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MNSC, APRN, PMHNP-BC
Contact information
Practice address
287 S BROADVIEW ST STE B-3, GREENBRIER, AR 72058-9233
(501) 209-3362
Mailing address
5401 JFK BLVD, NORTH LITTLE ROCK, AR 72116-6756
(501) 291-1126
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
AR214946
AR
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
214946
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1972376309
NPI
AR
Enumeration date
03/07/2021
Last updated
11/20/2023
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