Individual provider · Type 1 NPI
Kimberly Waller-Johnson, APRN
Acute Care Nurse Practitioner · North Little Rock, AR
NPI number
1528675386
Active
Practice location
4000 Richards Rd Ste 4000
North Little Rock, AR 72117-2650
Fax (501) 758-5173
Mailing address
4000 Richards Rd Ste A
North Little Rock, AR 72117-2939
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | R082821 (AR) |
| Acute Care Nurse Practitioner Primary | 363LA2100X | 213192 (AR) |
Acute Care Nurse Practitioner: Definition to come...
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About NPI 1528675386
Kimberly Waller-Johnson, APRN's National Provider Identifier is 1528675386, issued on Sep 25, 2020. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in North Little Rock, AR. The record was last updated on Nov 11, 2022.