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Individual

JENNIFER NICHELLE GARRETT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1308 E PAGE AVE, MALVERN, AR 72104-4518
(501) 337-9820
(501) 468-0478
Mailing address
4196 HIGHWAY 62 412 STE A, HARDY, AR 72542-8002

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A004481
AR

Other

Enumeration date
07/01/2015
Last updated
06/13/2024
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