Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.
CRYSTAL GAIL HEARD APRN
NPI 1336859909
Nurse Practitioner - Primary Care in Little Rock, AR
Active since December 05, 2022
About Crystal Gail Heard Aprn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CRYSTAL GAIL HEARD APRN (NPI 1336859909) is an individual primary care provider in Little Rock, Arkansas, licensed in Arkansas (222072) and active in the NPI registry since December 2022.
NPPES Registry Identity
NPI1336859909
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameCRYSTAL GAIL HEARDCredential: APRN
Location Address650 S SHACKLEFORD RDLittle Rock, AR 72211-3522
Mailing Address7 Arnold Palmer CvLittle Rock, AR 72210-9103 · (501) 410-0241
Phone(501) 410-0241
Sole ProprietorYes
Enumeration DateDecember 5, 2022
Last NPPES UpdateJune 29, 20262 updates tracked since enumeration
NPPES CertifiedJune 29, 2026
✔ NPI 1336859909 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License✔ Licensed in AR · 222072
650 S SHACKLEFORD RD, Little Rock, AR 72211
Other Providers at the Same Location NPPES 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Community/Behavioral Health
650 S SHACKLEFORD RD, SUITE 400-MM
LITTLE ROCK, AR 72211
LITTLE ROCK, AR 72211
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1336859909, enumerated as an "individual" on December 05, 2022.
The provider is located at 650 S SHACKLEFORD RD LITTLE ROCK, AR 72211 and the phone number is (501) 410-0241.
Nurse Practitioner with taxonomy code 363LP2300X and a focus in Primary Care.
