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MS. JAZZMON NICOLE TRICE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
8400 HIGHWAY 386 EAST, WRIGHTSVILLE, AR 72183
(501) 897-2982
(501) 897-9898
Mailing address
8025 SHADOW VALLEY CV, ALEXANDER, AR 72002-1861
(501) 607-3370

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
122314
AR
363LG0600X
Gerontology Nurse Practitioner
122314
AR

Other

Enumeration date
10/14/2019
Last updated
10/14/2019
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