Provider Demographics
NPI:1861962219
Name:GREER, RALONDA
Entity type:Individual
Prefix:
First Name:RALONDA
Middle Name:
Last Name:GREER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4143 JOHN F KENNEDY BLVD
Mailing Address - Street 2:
Mailing Address - City:NORTH LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72116-8264
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:855-576-4813
Practice Address - Street 1:4143 JOHN F KENNEDY BLVD
Practice Address - Street 2:
Practice Address - City:NORTH LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72116-8264
Practice Address - Country:US
Practice Address - Phone:501-400-3523
Practice Address - Fax:855-576-4813
Is Sole Proprietor?:No
Enumeration Date:2018-11-28
Last Update Date:2025-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARA005595363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily