Individual
JENNIFER TAWANDA BROWN GAINES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
209 S ELM TERRACE, SEARCY, AR 72143-6610
(870) 540-9476
Mailing address
209 S ELM TERRACE, SEARCY, AR 72143-6610
(870) 540-9476
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5444361327
OTHER
—
Enumeration date
01/13/2026
Last updated
01/13/2026
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