Individual
MRS. LAUREN ANNETTE RUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGPCNP-BC, AGACNP-BC
Contact information
Practice address
4300 W 7TH ST, LITTLE ROCK, AR 72205-5446
(501) 257-1000
Mailing address
4300 W 7TH ST, LITTLE ROCK, AR 72205-5446
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
A005202
AR
363LA2200X
Adult Health Nurse Practitioner
Primary
A005202
AR
Other
Enumeration date
09/08/2017
Last updated
05/25/2023
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