Individual
MR. JOHNATHAN NOBLE ROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN- CNP
Contact information
Practice address
9601 BAPTIST HEALTH DR STE 900, LITTLE ROCK, AR 72205-6331
(501) 224-1135
Mailing address
9601 BAPTIST HEALTH DR STE 900, LITTLE ROCK, AR 72205-6331
(501) 224-1135
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
212622
AR
Other
Enumeration date
12/10/2020
Last updated
12/15/2020
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