Healthcare Provider Details

I. General information

NPI: 1871908483
Provider Name (Legal Business Name): SARAH CROOK APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: SARAH HASTINGS

II. Dates (important events)

Enumeration Date: 06/23/2014
Last Update Date: 10/02/2026
Certification Date: 10/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

511 W SCHOOL ST
BROOKLAND AR
72417-8942
US

IV. Provider business mailing address

PO BOX 497
AUGUSTA AR
72006-0497
US

V. Phone/Fax

Practice location:
  • Phone: 870-604-1938
  • Fax: 870-210-8472
Mailing address:
  • Phone: 870-347-2534
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberA004109
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: