Individual
MRS. JENNIFER LYNN DEPEW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
902 W TRIMBLE AVE, BERRYVILLE, AR 72616-4601
(870) 423-2762
(870) 423-2141
Mailing address
26748 DEER LN, SHELL KNOB, MO 65747-8239
(417) 858-3606
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
R68969
AR
Other
Enumeration date
03/13/2009
Last updated
03/13/2009
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