Individual
MICHAEL J EDMISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APN
Contact information
Practice address
4300 WEST 7TH, JOHN L. MCCLELLAN VA HOSPITAL, LITTLE ROCK, AR 72205-5484
(501) 257-1000
Mailing address
PO BOX 862, PERRYVILLE, AR 72126-0862
(254) 368-8832
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
P00485
AR
363LG0600X
Gerontology Nurse Practitioner
A01346
AR
Other
Enumeration date
10/06/2006
Last updated
09/11/2025
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