Healthcare Provider Details

I. General information

NPI: 1407953458
Provider Name (Legal Business Name): JAME BETH PIERCE DPM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/20/2006
Last Update Date: 07/06/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4200 N RODNEY PARHAM RD SUITE 100
LITTLE ROCK AR
72212-2461
US

IV. Provider business mailing address

2501 CRESTWOOD RD STE 101
NORTH LITTLE ROCK AR
72116-7615
US

V. Phone/Fax

Practice location:
  • Phone: 501-534-8888
  • Fax: 501-534-8891
Mailing address:
  • Phone: 501-771-4785
  • Fax: 501-771-4787

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code213ES0131X
TaxonomyFoot Surgery Podiatrist
License Number016-005052
License Number StateIL
# 2
Primary TaxonomyY
Taxonomy Code213ES0131X
TaxonomyFoot Surgery Podiatrist
License Number248
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: