Individual
MRS. AMY MECHELLE NIEMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
4301 W MARKHAM ST, LITTLE ROCK, AR 72205-7101
(501) 526-2085
Mailing address
53 BERKSHIRE DR, LITTLE ROCK, AR 72204-3545
(501) 258-3281
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
A005065
AR
363LA2100X
Acute Care Nurse Practitioner
Primary
ATP-001048
AR
Other
Enumeration date
11/18/2016
Last updated
10/31/2019
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