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Individual

GRACE JONES JENKINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
5220 NORTHSHORE DR, NORTH LITTLE ROCK, AR 72118-5297
(501) 663-6455
(501) 663-4877
Mailing address
5220 NORTHSHORE DR, NORTH LITTLE ROCK, AR 72118-5297
(501) 663-6455
(501) 663-4877

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
312411795
AR
Enumeration date
09/12/2023
Last updated
04/01/2025
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