Individual
JENNA NICOLE HURST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MHPP
Contact information
Practice address
2425 COUNTRY CLUB RD, ARKADELPHIA, AR 71923-2903
(870) 245-3888
(870) 245-3887
Mailing address
2425 COUNTRY CLUB RD, ARKADELPHIA, AR 71923-2903
(870) 245-3888
(870) 245-3887
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/03/2012
Last updated
04/03/2012
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