ROBERTA ANNE CLARK APN NPI 1184827891

NPI Information

  • NPI: 1184827891
  • Provider Name: ROBERTA ANNE CLARK, APN
  • Classification: Nurse Practitioner - 363LN0005X
  • Specialization: Neonatal, Critical Care
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2710 S RIFE MEDICAL LN
    ROGERS, AR
    ZIP 72758
  • Phone: (479) 338-3331

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NPI Details

Roberta Anne Clark, APN is a neonatal and critical care nurse practitioner in Rogers, AR. Roberta Anne Clark, APN NPI is 1184827891. 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:

2710 S RIFE MEDICAL LN
ROGERS, AR
ZIP 72758-452
Phone: (479) 338-3331
Fax: (479) 338-2274

The NPI 1184827891 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 6/8/2007 and was last updated on 5/16/2022.

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
1363LN0005XNurse PractitionerNeonatal, Critical CareAO1898 ANPARKANSASYes

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: 11/21/2025

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