Revive Health and Wellness of Arkansas, Pllc
NPI #1548935646 in Little Rock, Arkansas
Provider Information
- NPI Number
- 1548935646
- Entity Type
- Organization
- Organization Name
- Revive Health and Wellness of Arkansas, Pllc
- Primary Specialty
- Nurse Practitioner - Family
- Enumeration Date
- Aug 11, 2021
- Last Updated
- Jul 8, 2022
Practice Location
- Address
- 8114 CANTRELL RD STE 201
- City
- Little Rock
- State
- Arkansas
- ZIP Code
- 72227-2504
- Phone
- (501) 779-8554
Authorized Official
- Name
- LINDSEY GILLUM, APRN
- Title
- MNG MEMBER
- Phone
- (501) 779-8554
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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