Individual
TERESA ROSEBERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
4501 GLENMERE RD, NORTH LITTLE ROCK, AR 72116-7405
(501) 269-0972
Mailing address
440 PHILLIPS ROAD 253 LOOP, LEXA, AR 72355-8366
(501) 269-0972
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
A004912
AR
Other
Enumeration date
10/08/2016
Last updated
07/12/2023
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