Individual
JACLYN SHARP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1401 W CAPITOL AVE, LITTLE ROCK, AR 72201-2936
(800) 561-0861
Mailing address
12411 BETHEL OAKS DR, FARMINGTON, AR 72730-8672
(479) 650-2932
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
215127
AR
Other
Enumeration date
09/07/2022
Last updated
09/07/2022
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