Individual
JESSICA REAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1016 MCQUAY AVE, POCAHONTAS, AR 72455
(870) 892-9949
(870) 892-0208
Mailing address
PO BOX 83, CORNING, AR 72422-0083
(870) 857-3334
(870) 857-9934
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A004551
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
212613758
—
AR
Enumeration date
12/30/2015
Last updated
12/15/2023
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