Individual
JENNIFER ROSE MIRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1 MERCY WAY STE 20, BELLA VISTA, AR 72714-3000
(479) 802-5555
(479) 876-2829
Mailing address
1 MERCY WAY STE 20, BELLA VISTA, AR 72714-3000
(479) 802-5555
(479) 876-2829
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A006143
AR
Other
Enumeration date
03/01/2019
Last updated
01/16/2023
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