Organization · Type 2 NPI

University of Arkansas Medical Sciences, Ahec Pine Bluff

Student in an Organized Health Care Education/Training Program · Pine Bluff, AR

NPI number 1881776987 Active

Practice location

4747 Dusty Lake Dr, Ste 203
Pine Bluff, AR 71603-8742

Mailing address

12 Sezanne Cv
Little Rock, AR 72223-5093

Specialties and licenses

TaxonomyCodeLicense
Emergency Care Clinic/Center 261QE0002XE5801 (AR)
Primary Care Clinic/Center 261QP2300XE5801 (AR)
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

5 other providers at this address

About NPI 1881776987

University of Arkansas Medical Sciences, Ahec Pine Bluff's National Provider Identifier is 1881776987, issued on Oct 19, 2006. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Pine Bluff, AR. The record was last updated on Aug 30, 2010.