Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Johnathan Noble Rose, APRN-CNP

Individual provider Acute Care Nurse Practitioner · NPI 1487250775

Mr. Johnathan Noble Rose, APRN-CNP is a Nurse Practitioner in Little Rock, Arkansas. Qualified in 2020, 6 years ago. Practices with Arkansas Health Group, a 645-clinician group and accepts Medicare assignment. Licensed in Arkansas.

Years since qualifying
6
Licensed in
AR
In the registry since
2020
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Practice location Address checks out

9601 Baptist Health Dr Ste 900
Little Rock, AR 72205-6331
Phone: (501) 224-1135
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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 212622 (AR)

Record details

NPI number1487250775
Entity typeIndividual (Type 1)
GenderMale
Credentials APRN-CNP
Sole proprietorYes
NPI enumeratedDecember 10, 2020
Last updated in NPPESDecember 15, 2020
Certification dateDecember 15, 2020

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Arkansas Health Group — 645 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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