Individual
JACLYN ELIZABETH CALLAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2708 S RIFE MEDICAL LN STE T40, ROGERS, AR 72758-1474
(479) 338-4000
(479) 338-4050
Mailing address
2708 S RIFE MEDICAL LN STE T40, ROGERS, AR 72758-1474
(479) 338-4000
(479) 338-4050
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
A003931
AR
Other
Enumeration date
08/05/2013
Last updated
03/14/2018
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