Individual
JENNIFER LEEANN LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
1009 HIGHWAY 18, LAKE CITY, AR 72437-9622
(870) 237-9928
(870) 237-1012
Mailing address
117 S 2ND ST, PO BOX 497, AUGUSTA, AR 72006-2309
(870) 347-2534
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
ATP-000303
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
155123749
—
AR
05
—
185303758
—
AR
Enumeration date
08/26/2010
Last updated
01/21/2026
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