Mr. Dustin B. Raines APRN
Nurse Practitioner in Little Rock, AR(View on Map)
Full Name
Mr. Dustin Brice Raines APRN
NPI Number
1306452347
NPI Type
Individual Provider
Gender
Male
Enumeration Date
09/16/2020
Specialties
(Taxonomies)Name
Code
363L00000X
363LA2200X
363LF0000X
363LG0600X
363LP0200X
Primary Taxonomy
Yes
No
No
No
No
Licenses
State
Arkansas
License Number
124241
Contact
Information
Purpose
Mailing
Location
Address
P.O. BOX 737373
13501 CHENAL PKWY
City
Dallas
Little Rock
State
TX
AR
Postal Code
75373-7373
72211-5260
Country
US
US
Telephone Number
(281) 888-8999
(281) 888-8999
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 07/25/2023
Provider Address
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