Healthcare Provider Details

I. General information

NPI: 1568763514
Provider Name (Legal Business Name): HAPSY D GLOVER APN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/08/2010
Last Update Date: 06/05/2026
Certification Date: 06/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11912 KANIS RD STE F2
LITTLE ROCK AR
72211-3771
US

IV. Provider business mailing address

11912 KANIS RD SUITE F2
LITTLE ROCK AR
72211-3733
US

V. Phone/Fax

Practice location:
  • Phone: 501-227-8020
  • Fax: 501-227-8826
Mailing address:
  • Phone: 501-227-8020
  • Fax: 501-227-8826

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License NumberA03199ANP
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: