MRS. TINA LOUISE PATRICK LPN
NPI 1134765746
Licensed Practical Nurse in Rogers, AR

Q: What is Tina Patrick's NPI number?

The NPI number for Tina Patrick is 1134765746. It was assigned to this individual provider in the NPPES registry on November 19, 2019.

Q: What is Tina Patrick's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

Q: When was this NPI record last updated?

The NPPES record for Tina Patrick was last updated on November 19, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since November 19, 2019

3307 N DIXIELAND RD, ROGERS, AR 72756(479) 986-5150(479) 986-5191 Get Directions Write a Review

NPPES record last updated: November 19, 2019. Verified against the NPPES registry weekly; last sync: October 04, 2026.

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About Mrs. Tina Louise Patrick Lpn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. TINA LOUISE PATRICK LPN (NPI 1134765746) is an individual licensed practical nurse in Rogers, Arkansas, licensed in Arkansas (L039606) and active in the NPI registry since November 2019.

NPPES Registry Identity

NPI1134765746

Entity TypeIndividualFemale

Primary Taxonomy164W00000X

Provider Legal NameMRS. TINA LOUISE PATRICKCredential: LPN

Location Address3307 N DIXIELAND RDRogers, AR 72756-6816

Mailing AddressPo Box 130Rogers, AR 72757-0130 · (479) 986-5150 · Fax (479) 986-5191

Phone(479) 986-5150

Fax(479) 986-5191

Sole ProprietorYes

Enumeration DateNovember 19, 2019

✔ NPI 1134765746 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers

Taxonomy Code164W00000X

License✔ Licensed in AR · L039606

Definition

A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

3307 N DIXIELAND RD, Rogers, AR 72756

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LAUREN ROUTH D.P.T

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