NPI 1609358928 · live from the CMS NPI Registry
Elizabeth Carol Hanks-Clark, APRN
Nurse Practitioner, Pediatrics in Little Rock, AR. National Provider Identifier 1609358928, active.
NPI record
| NPI | 1609358928 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Pediatrics 363LP0200X |
| Practice location | 1 Childrens Way, Little Rock, AR 72202 |
| Practice phone | 501-364-5221 |
| Mailing address | 15 Kings Rd, Cabot, AR 72023 |
| Enumerated | September 4, 2018 |
| Last updated | September 4, 2018 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Pediatrics primary | 363LP0200X | A005797 (AR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.