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General NPI Number Information
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NPI Number | 1427287887
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Entity Type | Individual
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Provider Name | AMY LYNN BEARD M.D.
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Gender | Female
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Dates
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Enumeration Date | 07/07/2009
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Last Update Date | 03/06/2015
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Provider Practice Location Address
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Address Line | 2001 CLUB MANOR DR SUITE J2
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City | MAUMELLE
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State | AR
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Zip | 72113-7411
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Country | US
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Telephone | 501-581-1212
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Fax |
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Provider Business Mailing Address
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Address Line | 6917 SKYWOOD RD
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City | LITTLE ROCK
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State | AR
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Zip | 72207-1744
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Country | US
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Telephone | 501-350-3433
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | E-6836
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License Number State | AR
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | E-6836
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License Number State | AR
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