Organization
ADVANTAGE PROGRAM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERRELL JENKINS B.A. , A.D.C.; AACJ (PRESIDENT)
(870) 919-0285
Entity
Organization
Contact information
Practice address
3529 E NETTLETON AVE, STE I, JONESBORO, AR 72401-5590
(870) 336-3360
(870) 336-3878
Mailing address
3529 E NETTLETON AVE STE I, JONESBORO, AR 72401-5500
(870) 336-3360
(870) 336-3878
Taxonomy
Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
Primary
1532
AR
Other
Enumeration date
05/06/2014
Last updated
05/06/2014
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