Individual
JESSICA M. BERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
107 ORCHID DR, SEARCY, AR 72143-8951
(501) 368-9007
Mailing address
PO BOX 497, AUGUSTA, AR 72006-0497
(870) 347-2534
(870) 347-2023
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
A005714
AR
363LF0000X
Family Nurse Practitioner
A005714
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
229452758
—
AR
Enumeration date
07/26/2018
Last updated
05/15/2025
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