Individual
JENNIFER S GREGORY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9500 KANIS RD STE 200, LITTLE ROCK, AR 72205-6358
(501) 224-6699
(501) 224-7752
Mailing address
11001 EXECUTIVE CENTER DR STE 200, LITTLE ROCK, AR 72211-4393
(501) 221-6699
(501) 221-7752
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
E6425
AR
207V00000X
Obstetrics & Gynecology Physician
Primary
E-6425
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1710008784
INDIVIDUAL NPI
—
01
—
E6425
LICENSE
AR
Enumeration date
04/03/2007
Last updated
02/15/2021
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