MRS. TRACEY JO GUSTAVESON RN - NPI 1386355089 - Registered Nurse in Little Rock, AR

Q: What is the provider's specialty?

The provider's specialty is Registered Nurse with taxonomy code 163WC1500X and a focus in Community Health.

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About Mrs. Tracey Jo Gustaveson Rn NPPES

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

MRS. TRACEY JO GUSTAVESON RN (NPI 1386355089) is an individual community health provider in Little Rock, Arkansas, licensed in Arkansas (R091797) and active in the NPI registry since December 2022.

NPPES Registry Identity

NPI1386355089

Entity TypeIndividualFemale

Primary Taxonomy163WC1500X

Provider Legal NameMRS. TRACEY JO GUSTAVESONCredential: RN

Location Address14901 CANTRELL RDLittle Rock, AR 72223-4255

Mailing Address14901 Cantrell RdLittle Rock, AR 72223-4255 · (501) 367-1200

Phone(501) 367-1200

Sole ProprietorNo

Enumeration DateDecember 13, 2022

NPPES CertifiedDecember 2, 2022

✔ NPI 1386355089 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered Nurse · Community HealthNursing Service Providers

Taxonomy Code163WC1500X

License✔ Licensed in AR · R091797

14901 CANTRELL RD, Little Rock, AR 72223

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Other Identifiers 1

OtherR091797AR · Arkansas State Board Of Nursing

Other Providers at the Same Location NPPES 4

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

ALYSSA STATON M.S., CCC-SLP

Speech-Language Pathologist

14901 CANTRELL RD
LITTLE ROCK, AR 72223

Pulaski County (501) 367-1200

EASTER SEALS ARKANSAS

Community/Behavioral Health

14901 CANTRELL RD
LITTLE ROCK, AR 72223

Pulaski County (501) 367-1200

ASHLEY SUE JENSON CCC-SLP

Speech-Language Pathologist

14901 CANTRELL RD
LITTLE ROCK, AR 72223

Pulaski County (501) 821-5459

MR. FRANK H BREGY III OTR/L

Occupational Therapist

14901 CANTRELL RD
LITTLE ROCK, AR 72223

Pulaski County (501) 227-3600

Frequently Asked Questions

What is Tracey Gustaveson's NPI number?

The NPI number assigned to this healthcare provider is 1386355089, enumerated as an "individual" on December 13, 2022.

Where is the provider located?

The provider is located at 14901 CANTRELL RD LITTLE ROCK, AR 72223 and the phone number is (501) 367-1200.

What is the provider's specialty?

Registered Nurse with taxonomy code 163WC1500X and a focus in Community Health.

What insurance does Tracey Gustaveson accept?

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.