Individual
MR. ERNEST R ENNIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APN
Contact information
Practice address
300 WERNER ST, HOT SPRINGS, AR 71913-6406
(501) 622-1043
(501) 622-1199
Mailing address
30 BURTON HILLS BLVD, STE 175, NASHVILLE, TN 37215-6403
(615) 864-8703
(615) 864-7565
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A004213
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A004213
STATE LICENSE
AR
Enumeration date
09/30/2014
Last updated
10/20/2016
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