MEDICARE: DR. JENNIFER STRATTON DO MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207ZP0102X	Anatomic Pathology & Clinical Pathology Physician	MD60011766	WA
2	207ZP0102X	Anatomic Pathology & Clinical Pathology Physician	MD0000044422	TN
3	207ZP0102X	Anatomic Pathology & Clinical Pathology Physician	40705	CO
4	207ZP0102X	Anatomic Pathology & Clinical Pathology Physician	N6261	TX
5	207ZP0102X	Anatomic Pathology & Clinical Pathology Physician	79829	GA
6	207ZP0102X	Anatomic Pathology & Clinical Pathology Physician	E-11119	AR

General Provider Information

NPI Number	:	1831169762
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JENNIFER STRATTON DO MD

Provider Business Mailing Address
First Line	:	4850 NORTHSHORE LN
Second Line	:
City	:	NORTH LITTLE ROCK
State	:	AR
Zip	:	72118
Country	:	US
Telephone Number	:	501-225-1400
Fax Number	:	501-225-1401

Provider Business Practice Location Address
First Line	:	4850 NORTHSHORE LN
Second Line	:
City	:	NORTH LITTLE ROCK
State	:	AR
Zip	:	72118
Country	:	US
Telephone Number	:	501-225-1400
Fax Number	:	501-225-1401

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/24/2006
Last Update Date	:	03/17/2018

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