DEENA DAVON GARNER


Address: 4301 W Markham St, Slot 529, Little Rock, AR 72205-7101
Phone: 5016031413

DEENA DAVON GARNER (NPI# 1013358522) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1013358522
Entity Type Individual
Full Name DEENA DAVON GARNER
Credential APRN
Practice Address 4301 W Markham St
Slot 529
Little Rock
AR 72205-7101
Practice Telephone 5016031413
Practice Fax Number 5016868695
Mailing Telephone 5016031413
Mailing Fax Number 5016868695
Enumeration Date 2013-07-12
Last Update Date 2016-09-22
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0200X Nurse Practitioner
Specialization: Pediatrics
A003913 AR Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
DEA MG2945422 01
AR PAC 3717 01
AR APN LICENSE A003913 01

Office Location

Street Address 4301 W MARKHAM ST
SLOT 529
City LITTLE ROCK
State AR
Zip Code 72205-7101

Providers in the same location

NPI Name Taxonomy Address Enumeration
1811998487 Jan K Hastings Pharmacist 4301 W Markham St, #522, Little Rock, AR 72205-7101 2005-08-04
1043810971 Prashanth Reddy Damalcheruvu Student in an Organized Health Care Education/Training Program 4301 W Markham St, Little Rock, AR 72205-7199 2020-10-29
1114533619 Nitesh Gautam Student in an Organized Health Care Education/Training Program 4301 W Markham St, Little Rock, AR 72205-7101 2020-09-20
1891301818 Rachel Rosenbaum Nurse Practitioner 4301 W Markham St, Little Rock, AR 72205-7101 2020-09-16
1477164861 Ashtyn Leann Knowles Dietitian, Registered 4301 W Markham St, Little Rock, AR 72205-7101 2020-08-11
1700404118 Candace Johnson Social Worker 4301 W Markham St, Little Rock, AR 72205-7101 2020-07-12
1851919245 Omar Alqaisi Student in an Organized Health Care Education/Training Program 4301 W Markham St, Little Rock, AR 72205-7101 2020-07-11
1295364578 Julie Michelle Nessler Student in an Organized Health Care Education/Training Program 4301 W Markham St, Little Rock, AR 72205-7101 2020-04-07
1346879079 Brian Wesley Rhea Student in an Organized Health Care Education/Training Program 4301 W Markham St, Little Rock, AR 72205-7199 2020-04-04
1265060388 Erin Elizabeth Hall Student in an Organized Health Care Education/Training Program 4301 W Markham St, Slot 517, Little Rock, AR 72205-7101 2020-04-01
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1932719465 Darleisha Renee Stigall Behavior Technician 1210 Aldersdate Rd, Little Rock, AR 72205 2020-08-10
1316563638 Unknown Amisha Student in an Organized Health Care Education/Training Program 4301 West Markham St, Slot #634, University of Arkansas, Little Rock, AR 72205 2020-06-23
1225667272 Ann-marie Frances Hayre Student in an Organized Health Care Education/Training Program 4310 West Markham, Slot 589, Little Rock, AR 72205 2020-04-02
1952930075 Alexandria Leigh Smith Student in an Organized Health Care Education/Training Program 4301 West Markham St, Slot 531, Little Rock, AR 72205 2020-04-02
1093353922 Phil Fagala Pharmacist 614 North Beechwood, Little Rock, AR 72205 2019-12-10
1295391688 Home To Community Living, Inc Physical Therapist 10201 W Markham Street Pulaski, Little Rock, AR 72205 2019-05-12
1669933693 Sandy Louise Webb Student in an Organized Health Care Education/Training Program 4301 West Markham, Slot 530, Little Rock, AR 72205 2019-03-31
1457812828 Vincent Battafarano Student in an Organized Health Care Education/Training Program 4301 West Markham, Slot 602, Little Rock, AR 72205 2019-03-28
1063978922 Franks Pediatric Occupational Therapy LLC Occupational Therapist 5516 C St, Little Rock, AR 72205 2019-02-15
1497210199 Integrative Counseling Center LLC Counselor 10515 W Markham St Ste D3, Little Rock, AR 72205 2019-02-06
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Taxonomy Information

Taxonomy Code 363LP0200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Pediatrics

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1891324216 Taira Nicole Bernard Nurse Practitioner 6424 The Divide Pkwy Apt 106, Little Rock, AR 72223-5861 2020-04-07
1568932119 Katie Jones Nurse Practitioner 1children's Way, Little Rock, AR 72211 2018-11-27
1689923831 Joanna Lowery Nurse Practitioner 3 Childrens Way, Little Rock, AR 72202-3500 2012-09-04
1881941417 Denice Marie Bozeman Nurse Practitioner 1 Childrens Way # 707, Little Rock, AR 72202-3500 2012-08-14
1699038711 Jennifer Ellen Murphree Nurse Practitioner 1 Children's Way, St # 653, Little Rock, AR 72202 2012-06-22
1255579124 Kimberly Ann Grundy Nurse Practitioner 800 Marshall St # 512-3, Little Rock, AR 72202-3510 2009-01-29
1093964223 Emily Herndon Gribble Nurse Practitioner 800 Marshall St # Slot512, Little Rock, AR 72202-3510 2008-09-11
1285893552 Carole Lee Mackey Nurse Practitioner 3600 Cantrell Rd, Ste 205 Slot 512-33, Little Rock, AR 72202-1893 2008-06-03
1407022734 Julie Allison Watson Ko Nurse Practitioner 3600 Cantrell Rd Ste 205, Little Rock, AR 72202-1892 2008-05-06
1427136969 Shuna Thomas Nurse Practitioner 25 Rahling Cir Ste C1, Little Rock, AR 72223-6000 2006-11-01
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Competitor

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City LITTLE ROCK
Zip Code 72205

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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