TAIRA NICOLE BERNARD


Address: 6424 The Divide Pkwy Apt 106, Little Rock, AR 72223-5861
Phone: 4799707306

TAIRA NICOLE BERNARD (NPI# 1891324216) 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) 1891324216
Entity Type Individual
Full Name TAIRA NICOLE BERNARD
Practice Address 6424 The Divide Pkwy Apt 106
Little Rock
AR 72223-5861
Mailing Address 1 Childrens Way
Little Rock
AR 72202-3500
Practice Telephone 4799707306
Mailing Telephone 5013641288
Enumeration Date 2020-04-07
Last Update Date 2020-05-25
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0200X Nurse Practitioner
Specialization: Pediatrics
123557 AR Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 6424 THE DIVIDE PKWY APT 106
City LITTLE ROCK
State AR
Zip Code 72223-5861

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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
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
1235230756 Patricia Dopler Braswell Nurse Practitioner 1301 Wolfe St, Little Rock, AR 72202-5320 2006-09-26
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Competitor

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City LITTLE ROCK
Zip Code 72223

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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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