Individual
BENJAMIN T. NIMMO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11501 FINANCIAL CENTRE PKWY, LITTLE ROCK, AR 72211-3715
(501) 223-3322
Mailing address
11501 FINANCIAL CENTRE PKWY, LITTLE ROCK, AR 72211-3715
(501) 223-3322
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
E-3177
AR
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
E-3177
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00000H56357
UNITY MANAGED MENTAL HLTH
AR
01
—
05070022703
QUAL-CHOICE
AR
05
—
146296001
—
AR
01
—
5M158
BLUE CROSS & BLUE SHIELD
AR
01
—
71-0401764
CORPHEALTH
AR
Enumeration date
08/30/2006
Last updated
07/19/2016
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