Individual
JAYNA J. MONICAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
1225 E CENTERTON BLVD, CENTERTON, AR 72719-1225
(479) 795-1301
(479) 795-1304
Mailing address
1225 E CENTERTON BLVD, CENTERTON, AR 72719-1225
(479) 795-1301
(479) 795-1304
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
2010009034
MO
363LF0000X
Family Nurse Practitioner
Primary
222403
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1124343074
—
MO
05
—
200641220A
—
KS
Enumeration date
04/05/2010
Last updated
01/03/2023
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