Individual
DR. JENNIFER M DICOCCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1005 E MATTHEWS AVE, JONESBORO, AR 72401-4308
(870) 935-1242
Mailing address
PO BOX 1331, JONESBORO, AR 72403-1331
(870) 935-1242
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
48681
TN
Other
Enumeration date
05/03/2007
Last updated
02/26/2017
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