Healthcare Provider Details

I. General information

NPI: 1164789392
Provider Name (Legal Business Name): BRIAN MEARS DNAP, APRN,PMHNP-BC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: BRIAN MEARS

II. Dates (important events)

Enumeration Date: 04/12/2012
Last Update Date: 08/07/2026
Certification Date: 08/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11501 HURON LN STE 5
LITTLE ROCK AR
72211-2491
US

IV. Provider business mailing address

11501 HURON LN STE 5
LITTLE ROCK AR
72211-2491
US

V. Phone/Fax

Practice location:
  • Phone: 501-904-4762
  • Fax: 501-708-2185
Mailing address:
  • Phone: 501-904-4762
  • Fax: 501-708-2185

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberC003103
License Number StateAR
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number232177
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: