Healthcare Provider Details

I. General information

NPI: 1669550224
Provider Name (Legal Business Name): CONSTANCE JARRETT RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/01/2006
Last Update Date: 08/19/2026
Certification Date: 08/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6520 BASELINE RD
LITTLE ROCK AR
72209-4732
US

IV. Provider business mailing address

18101 FAWN TREE DR
LITTLE ROCK AR
72210-7125
US

V. Phone/Fax

Practice location:
  • Phone: 501-274-5035
  • Fax: 501-274-4623
Mailing address:
  • Phone: 501-274-5035
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License NumberR31711
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: