Individual
MR. JARED CHARLES FOWLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN, PMHNP-BC
Contact information
Practice address
413 LAINEY DR, MAUMELLE, AR 72113-7869
(501) 712-9662
Mailing address
413 LAINEY DR, MAUMELLE, AR 72113-7869
(501) 712-9662
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
125248
AR
Other
Enumeration date
01/10/2026
Last updated
05/05/2026
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