Provider Demographics
NPI:1447684527
Name:RICE, ABBY (PA)
Entity type:Individual
Prefix:MRS
First Name:ABBY
Middle Name:
Last Name:RICE
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3130 E RACE AVE STE 100
Mailing Address - Street 2:SUITE 100
Mailing Address - City:SEARCY
Mailing Address - State:AR
Mailing Address - Zip Code:72143-4991
Mailing Address - Country:US
Mailing Address - Phone:501-268-5845
Mailing Address - Fax:
Practice Address - Street 1:3130 E RACE AVE STE 100
Practice Address - Street 2:SUITE 100
Practice Address - City:SEARCY
Practice Address - State:AR
Practice Address - Zip Code:72143-4991
Practice Address - Country:US
Practice Address - Phone:501-268-5845
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-08-26
Last Update Date:2016-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARP-T1330363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical