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Individual

JENNIFER IDA MARSHALL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PMHNP

Contact information

Practice address
1516 CUMBERLAND ST, LITTLE ROCK, AR 72202-5065
(501) 374-7565
Mailing address
72 WESTFIELD LOOP, LITTLE ROCK, AR 72210-6942
(501) 765-0213

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2022094754
AR

Other

Enumeration date
08/03/2023
Last updated
08/03/2023
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