Deena Davon Garner
Nurse Practitioner - Pediatrics
4301 W Markham St Slot 529
Little Rock
, Arkansas 72205-7101
Deena Davon Garner
Nurse Practitioner - Pediatrics
4301 W Markham St Slot 529
Little Rock
, Arkansas 72205-7101
(501) 686-8695
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About
Features
Specialties
- Nurse Practitioner - Pediatrics
Languages spoken
- English
Location
First Address
- Deena Davon Garner
- 4301 W Markham St Slot 529
- Little Rock, AR
- Zip : 72205-7101
- Fax : (501) 686-8695
- Phone : (501) 603-1413
Second Address
- Deena Davon Garner
- 4301 W Markham St Slot 529
- Little Rock, AR
- Zip : 72205-7101
- Fax : (501) 686-8695
- Phone : (501) 603-1413
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Is Deena Davon Garner a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LP0200X | Nurse Practitioner - Pediatrics | A003913 | AR |
National Provider Identifier
| NPI | 1013358522 |
|---|---|
| Provider Name | Deena Davon Garner |
| First Address | Little Rock, AR 72205-7101 |
| Second Address | Little Rock, AR 72205-7101 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 12/07/2013 |
| Last Update Date | 22/09/2016 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 3717 | PAC (01) | AR |
| A003913 | APN LICENSE (01) | AR |
| MG2945422 | DEA (01) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.