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NPI 1659140309 · live from the CMS NPI Registry

Kelsi Frederick, CNP

Nurse Practitioner, Pediatrics in Little Rock, AR. National Provider Identifier 1659140309, active.

NPI record

NPI1659140309 Type 1 · individual
StatusActive
Primary specialtyNurse Practitioner, Pediatrics 363LP0200X
Practice location1 Childrens Way # 653, Little Rock, AR 72202
Practice phone501-364-1100
Mailing address3525 Western Gales Dr, Jonesboro, AR 72405
EnumeratedDecember 21, 2023
Last updatedJuly 24, 2025
Sole proprietorNo
Other namesKelsi Davison

Taxonomies and licenses

TaxonomyCodeLicense
Nurse Practitioner, Pediatrics primary363LP0200X121586 (AR)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.