Coco, Zackary Dalton

Coco, Zackary Dalton is an individual health care provider with primary practice located at 10816 Executive Center Dr Ste 104 , Little Rock AR 72211-4381. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as his primary health care specialty. Coco, Zackary Dalton can be contacted via phone (501) 506-1587.

Contact Information

Primary practice address
10816 Executive Center Dr Ste 104 Little Rock AR 72211-4381
Phone: (501) 506-1587
Fax: (501) 298-2165
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 120487 Arkansas

Profile Details

NPI number 1194236935
LBN Legal business name Coco, Zackary Dalton
Credentials MNSC, APRN, PMHNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 19th, 2017
Last updated May 4th, 2025 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194236935 NPPES
Arkansas Other 120487 ARKANSAS BOARD OF NURSING - APRN - CNP LICENSE
Arkansas Other R101597 ARKANSAS BOARD OF NURSING - APRN - CNP LICENSE

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