Individual
JESSICA NICHOLE RATKOVIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
609 W MAPLE AVE, SPRINGDALE, AR 72764
(479) 751-3722
(479) 751-1099
Mailing address
601 W MAPLE AVE STE 503, SPRINGDALE, AR 72764-5376
(479) 751-3722
(479) 751-1099
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
24377
TN
367500000X
Certified Registered Nurse Anesthetist
Primary
C003237
AR
Other
Enumeration date
05/30/2018
Last updated
01/24/2019
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