Individual
MRS. JORDAN FREY ELDRIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
624 HOSPITAL DR, MOUNTAIN HOME, AR 72653-2955
(870) 424-1000
Mailing address
1713 PLANTATION, MOUNTAIN HOME, AR 72653-5248
(662) 571-3176
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
123898
AR
Other
Enumeration date
02/19/2020
Last updated
02/19/2020
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