Individual
JENNIFER L DORRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1500 MCLAIN ST, NEWPORT, AR 72112-3638
(870) 936-8000
(870) 217-0312
Mailing address
PO BOX 1960, JONESBORO, AR 72403-1960
(870) 936-8000
(870) 217-0312
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A005416
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
184473002
—
AR
Enumeration date
12/18/2017
Last updated
03/19/2019
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