Individual
JESSICA WELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHNP-BC
Contact information
Practice address
200 W TYLER AVE, WEST MEMPHIS, AR 72301-4223
(662) 292-1595
Mailing address
1978 BAKERSFIELD TRCE, NESBIT, MS 38651-6024
Taxonomy
Speciality
Code
Description
License number
State
163WX0003X
Inpatient Obstetric Registered Nurse
902290
MS
363LW0102X
Women's Health Nurse Practitioner
219358
AR
363LW0102X
Women's Health Nurse Practitioner
Primary
30586
TN
Other
Enumeration date
05/20/2021
Last updated
07/29/2022
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