MEDICARE: QUALITY HEALTHCARE RESOURCES LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	5DH22	OTHER		PTAN

General Provider Information

NPI Number	:	1205081437
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	QUALITY HEALTHCARE RESOURCES LLC

Provider Business Mailing Address
First Line	:	2200 S BOWMAN RD STE A
Second Line	:
City	:	LITTLE ROCK
State	:	AR
Zip	:	72211-4136
Country	:	US
Telephone Number	:	501-558-4111
Fax Number	:	501-263-9017

Provider Business Practice Location Address
First Line	:	2200 S BOWMAN RD STE A
Second Line	:
City	:	LITTLE ROCK
State	:	AR
Zip	:	72211-4136
Country	:	US
Telephone Number	:	501-558-4111
Fax Number	:	501-263-9017

Authorized Official
Title or Position	:	DIVISION SENIOR VP OPERATIONS
Name	:	MRS. KRISTI KENSLOW
Credential	:
Telephone Number	:	501-558-4141

Provider Enumeration Date	:	12/02/2008
Last Update Date	:	01/21/2026

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