Individual
KRISTIN LEIGH JEREMIAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSN,RN
Contact information
Practice address
240 VINEY GROVE RD, PRAIRIE GROVE, AR 72753-2517
(479) 926-0430
Mailing address
612 HAYDEN JAMES ST, PRAIRIE GROVE, AR 72753-3048
(479) 926-0430
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
121818
AR
Other
Enumeration date
06/10/2026
Last updated
06/10/2026
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