Healthcare Provider Details

I. General information

NPI: 1508610221
Provider Name (Legal Business Name): NP PROVIDER SOLUTIONS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/17/2024
Last Update Date: 04/30/2024
Certification Date: 04/30/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1636 HIGDON FERRY RD
HOT SPRINGS AR
71913-6912
US

IV. Provider business mailing address

6031 CHARLEY PL
BENTON AR
72019-8937
US

V. Phone/Fax

Practice location:
  • Phone: 501-651-2000
  • Fax: 501-651-2394
Mailing address:
  • Phone: 501-651-2000
  • Fax: 501-651-2394

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. ALISA RUFFNER
Title or Position: OWNER OF ENTITY
Credential: DNP
Phone: 501-651-2000