Healthcare Provider Details

I. General information

NPI: 1942974829
Provider Name (Legal Business Name): MARGARET L PIERCE APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/04/2021
Last Update Date: 06/25/2026
Certification Date: 06/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2425 DAVE WARD DR STE 401
CONWAY AR
72034-8681
US

IV. Provider business mailing address

2425 DAVE WARD DR STE 501
CONWAY AR
72034-8685
US

V. Phone/Fax

Practice location:
  • Phone: 501-329-3824
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number216172
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: