Individual
JENNIFER RENEE ISMAEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1900 STILLWATER DR, JONESBORO, AR 72404-9119
(870) 932-3600
Mailing address
1900 STILLWATER DR, JONESBORO, AR 72404-9119
(870) 932-3600
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R90042
AR
Other
Enumeration date
02/11/2019
Last updated
02/11/2019
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