Individual
JESSICA NUTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1110 W KINGSHIGHWAY, PARAGOULD, AR 72450-4164
(870) 205-2000
(870) 205-2001
Mailing address
1000 W KINGSHIGHWAY STE 14, PARAGOULD, AR 72450-4197
(870) 239-8591
(870) 239-8137
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R096622
AR
363LF0000X
Family Nurse Practitioner
Primary
A005209
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
222197758
—
AR
Enumeration date
06/27/2015
Last updated
12/02/2020
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