Individual
BETHANY B JENNINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
1 CHILDRENS WAY # 512-3, LITTLE ROCK, AR 72202-3500
(501) 364-1479
(501) 364-3667
Mailing address
1 CHILDRENS WAY # 653, LITTLE ROCK, AR 72202-3500
(501) 364-1100
(501) 364-4082
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
A005581
AR
363LA2100X
Acute Care Nurse Practitioner
Primary
A005581
AR
Other
Enumeration date
03/28/2018
Last updated
02/06/2023
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