Individual
JESSICA RENEE VASQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
409 S ROGERS ST, CLARKSVILLE, AR 72830-3743
(479) 491-4141
Mailing address
4196 HIGHWAY 62 412 STE A, HARDY, AR 72542-8002
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
230734
AR
363L00000X
Nurse Practitioner
Primary
230734
AR
Other
Enumeration date
02/10/2025
Last updated
02/16/2026
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