Brian Scott Burks, APRN
Nurse Practitioner, Family in Benton, AR. Individual provider (NPI-1).
NPI number1619574555
StatusActive
Last updated in NPPESOct 13, 2021
Details
- NPI
- 1619574555
- Entity type
- Individual (NPI-1)
- Name
- Brian Scott Burks
- Credential
- APRN
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Oct 5, 2020
- Certification date
- Oct 13, 2021
- Last updated
- Oct 13, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 212538 | AR | Yes |
| 363L00000X | Nurse Practitioner | 212538 | AR |
Practice location
4109 Hartford Hills DrBenton, AR 72019-2540
Phone 501-249-2543
Mailing address
4109 Hartford Hills DrBenton, AR 72019-2540
Phone 501-249-2543
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