Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363L00000X | Nurse Practitioner | 125503 | AR |
Y | 363LF0000X | Nurse Practitioner - Family Medicine | 125503 | AR |
NPI | 1003424243 |
---|---|
Provider Name | Rachel Sloan |
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 | 14/07/2020 |
Last Update Date | 11/02/2021 |