Provider Demographics
NPI:1164789392
Name:MEARS, BRIAN (DNAP, APRN,PMHNP-BC)
Entity type:Individual
Prefix:
First Name:BRIAN
Middle Name:
Last Name:MEARS
Suffix:
Gender:M
Credentials:DNAP, APRN,PMHNP-BC
Other - Prefix:
Other - First Name:BRIAN
Other - Middle Name:
Other - Last Name:MEARS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:11501 HURON LN STE 5
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72211-2491
Mailing Address - Country:US
Mailing Address - Phone:501-904-4762
Mailing Address - Fax:501-708-2185
Practice Address - Street 1:11501 HURON LN STE 5
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72211-2491
Practice Address - Country:US
Practice Address - Phone:501-904-4762
Practice Address - Fax:501-708-2185
Is Sole Proprietor?:No
Enumeration Date:2012-04-12
Last Update Date:2025-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARC003103367500000X
AR232177101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered