Individual
MRS. ALICE MAE ROGERS-JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RNP
Contact information
Practice address
1742 S HIGHWAY 65 82, LAKE VILLAGE, AR 71653-1560
(870) 265-2236
Mailing address
1571 PINE ST, EUDORA, AR 71640-2137
(870) 355-2477
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
P1052
AR
363LW0102X
Women's Health Nurse Practitioner
P1052
AR
Other
Enumeration date
08/15/2006
Last updated
09/11/2025
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