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General NPI Number Information
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NPI Number | 1841776846
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Entity Type | Individual
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Provider Name | MONICA M SUMNER APRN, FNP-C
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Gender | Female
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Dates
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Enumeration Date | 07/13/2018
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Last Update Date | 09/25/2024
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Provider Practice Location Address
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Address Line | 9601 BAPTIST HEALTH DR STE 500
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City | LITTLE ROCK
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State | AR
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Zip | 72205-6341
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Country | US
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Telephone | 501-227-5885
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Fax | 501-227-5005
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Provider Business Mailing Address
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Address Line | 11001 EXECUTIVE CENTER DR STE 200
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City | LITTLE ROCK
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State | AR
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Zip | 72211-4393
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Country | US
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Telephone | 501-227-5885
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Fax | 501-227-5005
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 121875
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License Number State | AR
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