Healthcare Provider Details

I. General information

NPI: 1053998518
Provider Name (Legal Business Name): GINGER SPILLER APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: GINGER LUPER

II. Dates (important events)

Enumeration Date: 03/29/2021
Last Update Date: 08/05/2026
Certification Date: 08/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1550 E ZION RD STE 6
FAYETTEVILLE AR
72703-4987
US

IV. Provider business mailing address

1550 E ZION RD STE 6
FAYETTEVILLE AR
72703-4987
US

V. Phone/Fax

Practice location:
  • Phone: 479-332-4011
  • Fax: 479-339-8846
Mailing address:
  • Phone: 479-332-4011
  • Fax: 479-339-8846

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number214462
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: