Individual
JAMYE RANKIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
1500 WILSON LOOP, WARD, AR 72176
(501) 941-5630
Mailing address
1500 WILSON LOOP, WARD, AR 72176
(501) 941-5630
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP1445
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
134152721
—
AR
01
—
5U637
BLUE CROSS BLUE SHIELD
AR
Enumeration date
07/11/2006
Last updated
12/11/2013
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