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JENNIFER JO JENNINGS APN
Family >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing ProvidersRegistrant NPI Number: 1538459425
Individual Registrant: JENNIFER JO JENNINGS APN
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
1 MERCY WAY STE 20 BELLA VISTA, AR 72714 US
Tel: 479-802-5555 Fax: 479-876-2829
Tel: 479-802-5555 Fax: 479-876-2829
Contact information for business:
1 MERCY WAY STE 20 BELLA VISTA, AR 72714-3000 US
Tel: 479-802-5555 Fax: 479-876-2829
Tel: 479-802-5555 Fax: 479-876-2829
Registration Information:
NPI: 1538459425
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 363LF0000X | Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Family | AR | A03511 ANP |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
