Individual
MRS. JENNIE R PIERCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN-C, MNSC
Contact information
Practice address
4301 W MARKHAM ST # 783, LITTLE ROCK, AR 72205-7101
(501) 686-8000
(501) 603-1436
Mailing address
4301 W MARKHAM ST # 783, LITTLE ROCK, AR 72205-7101
(501) 686-8000
(501) 603-1436
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
A01512
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5W158
BCBS
AR
Enumeration date
03/01/2007
Last updated
07/08/2007
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