IndividualActive
Casey Brock, APN
NPI 1649545302 · Adult Health Nurse Practitioner · Conway, AR
Provider details
- NPI number
- 1649545302
- Entity type
- Individual
- Primary specialty
- Adult Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- APN
- Sex
- Female
- Sole proprietor
- No
- License
- A03651 (AR)
Practice location
2200 Ada Ave
Ste 203
Conway, AR 72034-4985
Phone: (501) 205-8389
Fax: (888) 480-2845
Mailing address
198 Salmon Ln
Russellville, AR 72802-2282
Registry dates
- Enumerated
- 2012-03-14
- Last updated
- 2012-10-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.