NPI 1053320259

Susan Tate, PAC

Practitioner Physician Assistant North Little Rock, AR

Practice location

Address: 3401 Springhill Dr Suite 460, North Little Rock, AR 72117-2924
Phone: (501) 945-1888
Fax: (501) 945-4102
Mailing address: 109 Natalie Ln, Jacksonville, AR 72076-9378

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence PA-168 (AR)

Other Physician Assistant providers in Arkansas →

Registry record

NPI: 1053320259
Entity type: Individual
Sex (as registered): Female
NPI issued: 5 Aug 2006
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.