Individual
ALISA KAY BRANSCUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2708 S RIFE MEDICAL LN STE 220, ROGERS, AR 72758
(479) 338-4400
Mailing address
2708 S RIFE MEDICAL LN STE 220, ROGERS, AR 72758-1456
(479) 338-4400
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R069486
AR
363LF0000X
Family Nurse Practitioner
Primary
A005798
AR
363LG0600X
Gerontology Nurse Practitioner
A005798
AR
Other
Enumeration date
04/18/2018
Last updated
05/13/2025
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