Individual
JENNIFER DENISE BRALEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
824 N TYLER ST, LITTLE ROCK, AR 72205-3535
(501) 664-2961
(501) 664-6208
Mailing address
3504 STOCKTON, BENTON, AR 72019-2055
(501) 454-1795
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
Primary
R070416
AR
Other
Enumeration date
10/11/2018
Last updated
10/11/2018
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