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NPI Code Detail

MEDICARE: JENNIFER DAWN JARRETT APRN

MEDICARE: JENNIFER DAWN JARRETT APRN
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
1364SA2200XAdult Health Clinical Nurse SpecialistS02230AR
2363L00000XNurse PractitionerS02230AR

General Provider Information

NPI Number : 1386819654
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER DAWN JARRETT APRN
Provider Business Mailing Address
First Line : 2304 SANCTUARY COVE
Second Line :
City : JONESBORO
State : AR
Zip : 72403
Country : US
Telephone Number : 870-275-1744
Fax Number : 870-277-2197
Provider Business Practice Location Address
First Line : 3024 RED WOLF BLVD STE 6
Second Line :
City : JONESBORO
State : AR
Zip : 72401-7415
Country : US
Telephone Number : 870-275-1744
Fax Number : 870-277-2197
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/28/2008
Last Update Date : 02/17/2020

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