NPI 1083968564 · live from the CMS NPI Registry
Joy Angela Childress, APN
Nurse Practitioner, Pediatrics in Little Rock, AR. National Provider Identifier 1083968564, active.
NPI record
| NPI | 1083968564 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Pediatrics 363LP0200X |
| Practice location | 1 Childrens Way # 653, Little Rock, AR 72202 |
| Practice phone | 501-364-1100 |
| Enumerated | November 5, 2012 |
| Last updated | May 31, 2018 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse, Pediatrics | 163WP0200X | A01476 (AR) |
| Nurse Practitioner, Pediatrics primary | 363LP0200X | A001476 (AR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.