Healthcare Provider Details

I. General information

NPI: 1871139394
Provider Name (Legal Business Name): SARAH C ATKINS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/19/2019
Last Update Date: 04/09/2026
Certification Date: 04/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

650 UNITED DR STE 240
CONWAY AR
72032-7004
US

IV. Provider business mailing address

11001 EXECUTIVE CENTER DR STE 200
LITTLE ROCK AR
72211-4393
US

V. Phone/Fax

Practice location:
  • Phone: 501-219-0721
  • Fax: 501-585-2956
Mailing address:
  • Phone: 501-219-0721
  • Fax: 501-585-2956

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number122221
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: