Individual
TANIKA D JARRETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
249 S MAIN ST, JONESBORO, AR 72401-2908
(870) 336-1793
(870) 336-1786
Mailing address
249 S MAIN ST, JONESBORO, AR 72401-2908
(870) 336-1793
(870) 336-1786
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
A005966
AR
363LF0000X
Family Nurse Practitioner
A005966
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
232220758
—
AR
Enumeration date
01/31/2019
Last updated
11/08/2021
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