Individual
MARISSA BOGGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
4301 W MARKHAM ST # 783, LITTLE ROCK, AR 72205-7101
(501) 686-8000
Mailing address
4301 W MARKHAM ST # 783, LITTLE ROCK, AR 72205-7101
(501) 686-8000
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
A005762
AR
363LG0600X
Gerontology Nurse Practitioner
Primary
A005762
AR
Other
Enumeration date
08/24/2018
Last updated
02/26/2021
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