Healthcare Provider Details

I. General information

NPI: 1316884893
Provider Name (Legal Business Name): NANCY JEAN HUNTER RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/01/2026
Last Update Date: 05/01/2026
Certification Date: 05/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2708 S RIFE MEDICAL LN STE 220
ROGERS AR
72758-1456
US

IV. Provider business mailing address

2708 S RIFE MEDICAL LN STE 220
ROGERS AR
72758-1456
US

V. Phone/Fax

Practice location:
  • Phone: 479-338-4400
  • Fax: 479-338-4445
Mailing address:
  • Phone: 479-338-4400
  • Fax: 479-338-4445

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberR041252
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: