Healthcare Provider Details

I. General information

NPI: 1952233298
Provider Name (Legal Business Name): RIVER WHITE APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/01/2026
Last Update Date: 06/01/2026
Certification Date: 06/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

27 CORPORATE HILL DR
LITTLE ROCK AR
72205-4537
US

IV. Provider business mailing address

27 CORPORATE HILL DR
LITTLE ROCK AR
72205-4537
US

V. Phone/Fax

Practice location:
  • Phone: 501-227-6727
  • Fax: 501-223-9462
Mailing address:
  • Phone: 501-227-6727
  • Fax: 501-223-9462

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License Number237564
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: