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Individual

MICHELE A JERNIGAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
4301 W MARKHAM ST # 518, LITTLE ROCK, AR 72205-7101
(501) 686-8000
(501) 280-3156
Mailing address
4301 W MARKHAM ST # 518, LITTLE ROCK, AR 72205-7101
(501) 686-8000
(501) 280-3156

Taxonomy

Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
A01562
AR
363LW0102X
Women's Health Nurse Practitioner
APO5046
LA

Other

Enumeration date
10/23/2006
Last updated
02/02/2011
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