Healthcare Provider Details

I. General information

NPI: 1720393978
Provider Name (Legal Business Name): JENNIFER A. MCLAUGHLIN MD PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/12/2010
Last Update Date: 08/16/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16 HOSPITAL CIRCLE SUITE B
BATESVILLE AR
72501-7343
US

IV. Provider business mailing address

16 HOSPITAL CIRCLE SUITE B
BATESVILLE AR
72501-7343
US

V. Phone/Fax

Practice location:
  • Phone: 870-793-7800
  • Fax:
Mailing address:
  • Phone: 870-793-7800
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License Number
License Number State

VIII. Authorized Official

Name: MS. JENNIFER ASHLEY MCLAUGHLIN
Title or Position: OWNER
Credential: M.D.
Phone: 870-793-7800