Healthcare Provider Details

I. General information

NPI: 1487390118
Provider Name (Legal Business Name): AUDREY RACHEL ALEXANDER APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/05/2022
Last Update Date: 07/02/2026
Certification Date: 07/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

602 W ARCH AVE
SEARCY AR
72143-5206
US

IV. Provider business mailing address

602 W ARCH AVE
SEARCY AR
72143-5206
US

V. Phone/Fax

Practice location:
  • Phone: 501-380-0758
  • Fax: 501-380-6682
Mailing address:
  • Phone: 501-380-0758
  • Fax: 501-380-6682

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number218838
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: