Individual
JAN ELLEN WORTHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
3333 SPRINGHILL DR, NORTH LITTLE ROCK, AR 72117-2922
(501) 202-3000
Mailing address
PO BOX 190670, LITTLE ROCK, AR 72219-0670
(501) 771-4693
(501) 771-4885
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
C01059
AR
Other
Enumeration date
04/18/2006
Last updated
11/02/2009
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