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Individual

MRS. JAMIE BREWER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APN

Contact information

Practice address
2200 FORT ROOTS DR, NORTH LITTLE ROCK, AR 72114-1709
(501) 257-1000
Mailing address
79 WILLOW LK, WARD, AR 72176-9517
(501) 563-2143

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
A004045
AR
363LG0600X
Gerontology Nurse Practitioner
A004045
AR

Other

Enumeration date
03/02/2014
Last updated
03/02/2014
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