Individual provider · Type 1 NPI
Tara Nicole Rogers, P.A.
Surgical Physician Assistant · Conway, AR
NPI number
1831409135
Active
Practice location
505 E Dave Ward Dr
Conway, AR 72032-7825
Fax (501) 904-3620
Mailing address
800 Fair Park Blvd
Little Rock, AR 72204-1720
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgical Physician Assistant | 363AS0400X | None listed |
| Surgical Physician Assistant Primary | 363AS0400X | PA-513 (AR) |
Surgical Physician Assistant: Definition to come...
3 other providers at this address
Other surgical physician assistant providers in Conway
About NPI 1831409135
Tara Nicole Rogers, P.A.'s National Provider Identifier is 1831409135, issued on Oct 20, 2010. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Conway, AR. The record was last updated on May 26, 2026.