| Doctor Name: | CHRISTINA M PETTEY |
| NPI Number: | 1023222668 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | APN |
| License Number: | A01557 |
| Business Practice Address: | 1021 E Washington Ave North Little Rock, AR - 721145853 |
| Business Phone Number: | 5013766694 |
| Business Fax Number: | |
| Mailing Address: | 1021 E Washington Ave, NORTH LITTLE ROCK |
| State: | AR |
| Postal Code: | 721145853 |
| Phone Number: | 5013766694 |
| Fax Number: | |
| NPI Enumeration Date: | 05/10/2007 |
| NPI Last Update Date: | 11/30/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | A01557 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AR |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |