Individual
HOLLY H JENNINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1120 LEXINGTON AVE, FORT SMITH, AR 72901-5136
(479) 709-7260
(479) 709-7261
Mailing address
PO BOX 402319, ATLANTA, GA 30384-2319
(479) 709-7399
(479) 709-7053
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
E0671
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100124250A
—
OK
05
—
128196001
—
AR
Enumeration date
10/06/2005
Last updated
08/13/2010
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