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MRS. KELLIE LYNN GLISSON JR. LPN
NPI 1619115649
Licensed Practical Nurse in Arkadelphia, AR

Active since January 29, 2009
2410 PINE ST, ARKADELPHIA, AR 71923(870) 245-2210 Get Directions Write a Review

NPPES record last updated: January 29, 2009. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Mrs. Kellie Lynn Glisson Jr. Lpn NPPES

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

MRS. KELLIE LYNN GLISSON JR. LPN (NPI 1619115649) is an individual licensed practical nurse in Arkadelphia, Arkansas, licensed in Arkansas (L42812) and active in the NPI registry since January 2009.

NPPES Registry Identity

NPI1619115649
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameMRS. KELLIE LYNN GLISSON JR.Credential: LPN
Location Address2410 PINE STArkadelphia, AR 71923-4335
Mailing Address169 Hunterscove DrHot Springs, AR 71913-8071 · (501) 760-2511
Phone(870) 245-2210
Sole ProprietorYes
Enumeration DateJanuary 29, 2009
✔ NPI 1619115649 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 · L42812
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.
2410 PINE ST, Arkadelphia, AR 71923
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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.

TRACI COOPER MS, CF-SLP
Speech-Language Pathologist
2410 PINE ST
ARKADELPHIA, AR 71923
Clark County (870) 245-2210
PATSY RUTH MATTHEWS MSE
Case Manager/Care Coordinator
2410 PINE ST
ARKADELPHIA, AR 71923
Clark County (870) 245-2210
KIMBERLY BURTON
Counselor (Mental Health)
2410 PINE ST
ARKADELPHIA, AR 71923
Clark County (870) 245-2210
SHANNON M CUMMINGS
Case Manager/Care Coordinator
2410 PINE ST
ARKADELPHIA, AR 71923
Clark County (870) 245-2210
JACLYN RICHARDSON
Technician, Other
2410 PINE ST
ARKADELPHIA, AR 71923
Clark County (870) 245-2210
CASSAUNDRA ETUE
Technician, Other
2410 PINE ST
ARKADELPHIA, AR 71923
Clark County (870) 245-2210
TINA BEALS
Technician, Other
2410 PINE ST
ARKADELPHIA, AR 71923
Clark County (870) 245-2210
BRIGETTE BREAKALL
Rehabilitation Practitioner
2410 PINE ST
ARKADELPHIA, AR 71923
Clark County (870) 245-2210

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kellie Glisson's NPI number?

The NPI number for Kellie Glisson is 1619115649. It was assigned to this individual provider in the NPPES registry on January 29, 2009.

Where is Kellie Glisson located?

Kellie Glisson practices at 2410 Pine St, Arkadelphia, AR 71923. The listed phone number is (870) 245-2210.

What is Kellie Glisson's specialty?

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

When was this NPI record last updated?

The NPPES record for Kellie Glisson was last updated on January 29, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.