Healthcare Provider Details

I. General information

NPI: 1164073722
Provider Name (Legal Business Name): CAROLINE JARRETT DNP, APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/25/2019
Last Update Date: 11/13/2023
Certification Date: 11/13/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3401 E HIGHLAND DR
JONESBORO AR
72401-6404
US

IV. Provider business mailing address

808 W EMERSON ST
PARAGOULD AR
72450-5923
US

V. Phone/Fax

Practice location:
  • Phone: 870-934-8033
  • Fax:
Mailing address:
  • Phone: 870-335-0022
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberA005953
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: