Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Greg Nesdahl

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1568006211

Greg Nesdahl is a Nurse Practitioner in Little Rock, Arkansas. Qualified in 2023, 3 years ago. Practices with Supportive Psych Care of Arkansas PA, a 40-clinician group and accepts Medicare assignment. Licensed in Arkansas.

Years since qualifying
3
Licensed in
AR
In the registry since
2019
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Practice location Address checks out

6501 W 12th St
Little Rock, AR 72204-1511
Phone: (501) 666-8686
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 228480 (AR)

Record details

NPI number1568006211
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedNovember 5, 2019
Last updated in NPPESOctober 31, 2024
Certification dateOctober 31, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Supportive Psych Care Of Arkansas Pa — 40 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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