Healthcare Provider Details

I. General information

NPI: 1609708437
Provider Name (Legal Business Name): KASEY SAUNDERS APRN, ANGP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/03/2026
Last Update Date: 06/03/2026
Certification Date: 06/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

108 N SHACKLEFORD RD
LITTLE ROCK AR
72211-2840
US

IV. Provider business mailing address

108 N SHACKLEFORD RD
LITTLE ROCK AR
72211-2840
US

V. Phone/Fax

Practice location:
  • Phone: 501-260-7228
  • Fax: 888-630-8885
Mailing address:
  • Phone: 501-260-7228
  • Fax: 888-630-8885

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number236992
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: