Healthcare Provider Details

I. General information

NPI: 1316624455
Provider Name (Legal Business Name): BRIANNA VEL AUSTIN PMHNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: BRIANNA VEL COOK APRN, PMHNP - BC

II. Dates (important events)

Enumeration Date: 06/30/2023
Last Update Date: 02/12/2026
Certification Date: 02/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

303 W NEWMAN AVE
HARRISON AR
72601-5839
US

IV. Provider business mailing address

401 N 8TH ST UNIT 58
ROGERS AR
72757-7148
US

V. Phone/Fax

Practice location:
  • Phone: 479-318-2828
  • Fax:
Mailing address:
  • Phone: 479-318-2828
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number225190
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: