Individual provider · Type 1 NPI

Justin Lane Roark, MSN, APRN, AGACNP-BC

Acute Care Nurse Practitioner · Little Rock, AR

NPI number 1326537846 Active

Practice location

2 Saint Vincent Cir
Little Rock, AR 72205-5423

Call (501) 552-3071 Map

Mailing address

408 S Jackson St
Cabot, AR 72023-3079

Specialties and licenses

Taxonomy	Code	License
Acute Care Nurse Practitioner Primary	363LA2100X	239851 (AR)

Acute Care Nurse Practitioner: Definition to come...

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About NPI 1326537846

Justin Lane Roark, MSN, APRN, AGACNP-BC's National Provider Identifier is 1326537846, issued on May 10, 2018. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Little Rock, AR. The record was last updated on Oct 23, 2026.