Individual
DR. JERRI S FANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3400 SPRINGHILL DRIVE, NORTH LITTLE ROCK, AR 72117
(501) 906-3000
Mailing address
PO BOX 55050, LITTLE ROCK, AR 72215-5050
(501) 906-3000
(501) 907-6522
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
E2749
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
146285001
—
AR
Enumeration date
09/26/2005
Last updated
03/30/2022
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