Healthcare Provider Details

I. General information

NPI: 1134041320
Provider Name (Legal Business Name): HALEY TOWNSEND
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/28/2026
Last Update Date: 07/28/2026
Certification Date: 07/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13420 DAVID O DODD RD
LITTLE ROCK AR
72210-2724
US

IV. Provider business mailing address

49 OUACHITA DR
MAUMELLE AR
72113-6376
US

V. Phone/Fax

Practice location:
  • Phone: 501-447-1705
  • Fax:
Mailing address:
  • Phone: 479-477-0878
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WS0200X
TaxonomySchool Registered Nurse
License NumberR083060
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: