Healthcare Provider Details

I. General information

NPI: 1942115720
Provider Name (Legal Business Name): REBECCA USSERY RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/17/2026
Last Update Date: 08/17/2026
Certification Date: 08/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

65 GARRETT RD
GREENBRIER AR
72058-9402
US

IV. Provider business mailing address

65 GARRETT RD
GREENBRIER AR
72058-9402
US

V. Phone/Fax

Practice location:
  • Phone: 501-679-1029
  • Fax:
Mailing address:
  • Phone: 501-679-1029
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WS0200X
TaxonomySchool Registered Nurse
License NumberR093019
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: