Healthcare Provider Details

I. General information

NPI: 1790104958
Provider Name (Legal Business Name): DEVIN SESSIONS M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: DEVIN NICOLE LONGACRE M.D.

II. Dates (important events)

Enumeration Date: 04/15/2014
Last Update Date: 08/29/2024
Certification Date: 08/29/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1225 BRECKENRIDGE DR STE 110
LITTLE ROCK AR
72205-1565
US

IV. Provider business mailing address

PO BOX 241247
LITTLE ROCK AR
72223-0005
US

V. Phone/Fax

Practice location:
  • Phone: 501-359-6655
  • Fax: 501-359-6650
Mailing address:
  • Phone: 501-359-6655
  • Fax: 501-359-6650

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberE-13305
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: