Healthcare Provider Details

I. General information

NPI: 1821868670
Provider Name (Legal Business Name): DEREK DAVID ROOKER DNP, APRN, FNP-BC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/03/2024
Last Update Date: 07/03/2025
Certification Date: 07/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3343 SPRINGHILL DR STE 1035
NORTH LITTLE ROCK AR
72117-2930
US

IV. Provider business mailing address

5810 SPARKS RD
LITTLE ROCK AR
72210-4879
US

V. Phone/Fax

Practice location:
  • Phone: 501-975-7676
  • Fax:
Mailing address:
  • Phone: 501-708-9346
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number233704
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: