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JESSICA M. BERRY APRN

Family >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1376020917

Individual Registrant:
 JESSICA M. BERRY APRN
Gender: F
Not Sole Proprietor

Location and contact information for practice:
606 W WILBUR MILLS AVE  KENSETT, AR 72082-9051 US
Tel: 501-742-5697  Fax: 501-742-3031

Contact information for business:
PO BOX 497  AUGUSTA, AR 72006-0497 US
Tel: 870-347-2534  Fax: 870-347-2023

Registration Information:
NPI: 1376020917
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363LF0000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Family
ARA005714

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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