Individual
SYDNEY PECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-CNP, PMHNP-BC
Contact information
Practice address
320 E PARKWAY DR, RUSSELLVILLE, AR 72801-3916
(479) 208-5512
(479) 255-5701
Mailing address
320 E PARKWAY DR, RUSSELLVILLE, AR 72801-3916
(479) 208-5512
(479) 255-5701
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
213619
AR
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
213619
AR
Other
Enumeration date
12/04/2025
Last updated
05/12/2026
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