TINA MARIA BERRY CNP NPI 1063936839

NPI Information

NPI: 1063936839
Provider Name: TINA MARIA BERRY, CNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
9601 BAPTIST HEALTH DR
LITTLE ROCK, AR
ZIP 72205
Phone: (501) 202-2300
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Tina Maria Berry, CNP is a family nurse practitioner in Little Rock, AR. Tina Maria Berry, CNP NPI is 1063936839. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

9601 BAPTIST HEALTH DR
LITTLE ROCK, AR
ZIP 72205-321
Phone: (501) 202-2300
Fax: (501) 202-1449

The NPI 1063936839 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/2/2017 and was last updated on 9/18/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363L00000X	Nurse Practitioner		A005305	ARKANSAS	No
2	363LF0000X	Nurse Practitioner	Family	A005305	ARKANSAS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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