Individual
JESSE A LARBEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
620 NORTH MAIN, HARRISON, AR 72601-2911
(870) 365-2000
Mailing address
620 N MAIN ST, HARRISON, AR 72601-2911
(870) 414-4760
(870) 414-4990
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA-463
AR
363A00000X
Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5AJ41
AR BLUE CROSS
AR
Enumeration date
01/04/2012
Last updated
09/03/2013
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