Individual
JARROD JERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
A.P.N.
Contact information
Practice address
110 N BROADVIEW ST, GREENBRIER, AR 72058-9475
(501) 679-3551
Mailing address
P.O. BOX 476, 110 N. BROADVIEW STREET, GREENBRIER, AR 72058-0476
(501) 679-3551
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A03531
AR
Other
Enumeration date
07/07/2011
Last updated
07/07/2011
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