Provider Demographics
NPI:1902457955
Name:LAWS, DEBBIE DIANE (DNP, RN, CNP, AGPCNP)
Entity Type:Individual
Prefix:DR
First Name:DEBBIE
Middle Name:DIANE
Last Name:LAWS
Suffix:
Gender:F
Credentials:DNP, RN, CNP, AGPCNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:645 S HALIJAN RD
Mailing Address - Street 2:
Mailing Address - City:CARLISLE
Mailing Address - State:AR
Mailing Address - Zip Code:72024-9411
Mailing Address - Country:US
Mailing Address - Phone:501-804-3718
Mailing Address - Fax:
Practice Address - Street 1:2415 N TYLER ST
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72207-3740
Practice Address - Country:US
Practice Address - Phone:501-664-0340
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-09-21
Last Update Date:2019-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARA005297363LA2200X, 363LG0600X, 363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology