Individual
JACINTA IWUJI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
200 E MILITARY RD, SUITE 1, MARION, AR 72364-1811
(870) 739-9300
Mailing address
PO BOX 1051, COLLIERVILLE, TN 38027-1051
(870) 739-9300
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
A004904
AR
363LF0000X
Family Nurse Practitioner
RN0000213143
TN
Other
Enumeration date
02/03/2016
Last updated
08/10/2018
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