CANDACE LEAH ROLSTON


Address: 629 Jack Stephens Dr, Little Rock, AR 72205-5525
Phone: 4794147483

CANDACE LEAH ROLSTON (NPI# 1366872699) 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) 1366872699
Entity Type Individual
Full Name CANDACE LEAH ROLSTON
Credential APN
Practice Address 629 Jack Stephens Dr
Little Rock
AR 72205-5525
Mailing Address 2415 N Fillmore St
Little Rock
AR 72207-3612
Practice Telephone 4794147483
Mailing Telephone 4794147483
Enumeration Date 2013-11-22
Last Update Date 2013-11-22
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LG0600X Nurse Practitioner
Specialization: Gerontology
A003966 AR Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 629 JACK STEPHENS DR
City LITTLE ROCK
State AR
Zip Code 72205-5525

Providers in the same location

NPI Name Taxonomy Address Enumeration
1154443372 Kalpana P Padala Internal Medicine 629 Jack Stephens Dr, Little Rock, AR 72205-5525 2007-04-06
1083174759 Cody Lee Rainey Physical Therapist 629 Jack Stephens Dr, Little Rock, AR 72205-5525 2019-03-20
1013361385 Amber Douglas Occupational Therapist 629 Jack Stephens Dr, Rehabilitation Services, Little Rock, AR 72205-5525 2016-04-22
1912385667 Payal Patel Emergency Medicine 629 Jack Stephens Dr, Little Rock, AR 72205-5525 2015-05-14
1932535937 Lucas Dean Finley Physical Therapist 629 Jack Stephens Dr, Little Rock, AR 72205-5525 2013-09-23
1700211398 Michael Bennett Physical Therapy Assistant 629 Jack Stephens Dr, Little Rock, AR 72205-5525 2013-09-13
1669807228 University of Arkansas for Medical Sciences Clinic/Center 629 Jack Stephens Dr, Little Rock, AR 72205-5525 2013-09-13
1104259563 Amanda Gail Williams Physical Therapist 629 Jack Stephens Dr, Slot 805, Little Rock, AR 72205-5525 2013-08-20
1811236334 Joyce A Moore Nurse Practitioner 629 Jack Stephens Dr, Little Rock, AR 72205-5525 2013-02-04
1194976852 Janet Susan Rader Physician Assistant 629 Jack Stephens Dr, Little Rock, AR 72205-5525 2008-09-30
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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
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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 363LG0600X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Gerontology

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1205451853 Quynh Chau Bao Wang Nurse Practitioner 1024 Boulder Dr, Little Rock, AR 72210-4789 2020-06-10
1932754942 Amy Cooper Nurse Practitioner 14309 Cantrell Rd Ste 7, Little Rock, AR 72223-4230 2019-08-06
1104265594 Cerisse Kahele Harcourt Nurse Practitioner 4301 W Markham St # 721-4, Little Rock, AR 72205-7101 2013-06-18
1871890046 Beth Evans Nurse Practitioner 2200 S Bowman Rd, Little Rock, AR 72211-4136 2011-02-23
1619290871 Mary Lakeflack Nurse Practitioner 44 Clervaux Dr, Little Rock, AR 72223-5501 2010-03-02
1346841723 Garbo Watson Hearne Nurse Practitioner 1001 Wright Ave, Little Rock, AR 72206 2020-11-03
1528685807 Courtney C Wilkinson Nurse Practitioner 9601 Baptist Health Dr, Little Rock, AR 72205-6321 2020-07-02
1831721059 Keely Sparks Nurse Practitioner 10100 Kanis Rd, Little Rock, AR 72205-6202 2020-02-05
1396200978 Charlett Watson Nurse Practitioner 200 River Market Ave Ste 300, Little Rock, AR 72201-1770 2019-02-07
1689148587 Marquitta Smith Nurse Practitioner 200 River Market Ave Ste 300, Little Rock, AR 72201-1770 2019-01-15
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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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