Individual
JENNIFER HENRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
710 S COUNTRY CLUB RD, CONWAY, AR 72034-9307
(501) 499-8699
Mailing address
710 S COUNTRY CLUB RD, CONWAY, AR 72034-9307
(501) 499-8699
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
A1507093
AR
163W00000X
Registered Nurse
R80964
AR
Other
Enumeration date
10/06/2016
Last updated
10/06/2016
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