John Rick Agre, RN
Nurse Practitioner in Little Rock, AR. Individual provider (NPI-1).
NPI number1740087832
StatusActive
Last updated in NPPESMar 4, 2025
Details
- NPI
- 1740087832
- Entity type
- Individual (NPI-1)
- Name
- John Rick Agre
- Credential
- RN
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 26, 2025
- Certification date
- Mar 4, 2025
- Last updated
- Mar 4, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | P001133 | AR | Yes |
Practice location
1100 N University Ave Ste 200Little Rock, AR 72207-6360
Phone 888-710-8220 · Fax 866-573-0761
Mailing address
Po Box 1848Mena, AR 71953-1841
Phone 888-710-8220 · Fax 866-573-0761
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