Individual
JENNIFER DEWITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
623 N 9TH ST, AUGUSTA, AR 72006-2129
(870) 317-9999
Mailing address
PO BOX 55, PATTERSON, AR 72123-0055
(870) 317-9999
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
Primary
R090029
AR
Other
Enumeration date
08/29/2019
Last updated
08/29/2019
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