Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kimberly Waller-Johnson, APRN

Individual provider Registered Nurse · NPI 1528675386

Kimberly Waller-Johnson, APRN is a Registered Nurse in North Little Rock, Arkansas. Licensed in Arkansas. Registered with an NPI since 2020.

Licensed in
AR
In the registry since
2020
Specialties on file
2
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

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Practice location Address checks out

4000 Richards Rd Ste 4000
North Little Rock, AR 72117-2650
Phone: (501) 758-5133
Fax: (501) 758-5173
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 213192 (AR)
Registered Nurse Taxonomy 163W00000X · Licence R082821 (AR)

Record details

NPI number1528675386
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN
Sole proprietorNo
NPI enumeratedSeptember 25, 2020
Last updated in NPPESNovember 11, 2022
Certification dateNovember 11, 2022

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