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Contact Information

ALISA K BRANSCUM, APRN
2708 S RIFE MEDICAL LN STE 220
ROGERS, AR72758
 Phone: 479-338-4400
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
 

Gerontology

363LG0600X 50 Nurse Practitioner
 

Registered Nurse

163W00000X
Indicates primary specialty

NPI Profile & details for ALISA K BRANSCUM · (Female)

NPI # 1720575467
Status Active
Credentials APRN (Advanced Practice Registered Nurse)
Entity Individual
Enumeration date 04/18/2018
Last updated 05/13/2025 - More than a year ago
Sole proprietor 1 No
Identifiers
  • AR License # A005798
  • AR License # R069486
Hospital affiliation(s)
  • MERCY MEDICAL CENTER - (Acute Care)
    2710 RIFE MEDICAL LANE
    ROGERS, AR 72758
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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