Healthcare Provider Details

I. General information

NPI: 1548080708
Provider Name (Legal Business Name): ARKANSAS MILITARY AND FIRST RESPONDER ACADEMY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/14/2024
Last Update Date: 10/14/2024
Certification Date: 10/14/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10710 INTERSTATE 30
LITTLE ROCK AR
72209-5835
US

IV. Provider business mailing address

10710 INTERSTATE 30
LITTLE ROCK AR
72209-5835
US

V. Phone/Fax

Practice location:
  • Phone: 501-942-6372
  • Fax:
Mailing address:
  • Phone: 501-942-6372
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WS0200X
TaxonomySchool Registered Nurse
License Number
License Number State

VIII. Authorized Official

Name: MS. TINA MCKEE
Title or Position: RN
Credential:
Phone: 501-942-6372