Healthcare Provider Details

I. General information

NPI: 1306417324
Provider Name (Legal Business Name): CHRISTINA LYNN ALLEN-DOYLE APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: CRISSY L HENDERSON

II. Dates (important events)

Enumeration Date: 07/09/2021
Last Update Date: 05/09/2025
Certification Date: 06/20/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6501 WEST 12TH STREET
LITTLE ROCK AR
72204-1511
US

IV. Provider business mailing address

P.O. BOX 251970
LITTLE ROCK AR
72225-1970
US

V. Phone/Fax

Practice location:
  • Phone: 501-666-8686
  • Fax: 501-660-6832
Mailing address:
  • Phone: 501-666-8686
  • Fax: 501-660-6830

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number216740
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: