Individual
JESSICA IRGENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
7301 ROGERS AVE, FORT SMITH, AR 72903-4100
(479) 461-2688
Mailing address
7301 ROGERS AVE, FORT SMITH, AR 72903-4100
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1892
AR
Other
Enumeration date
08/26/2019
Last updated
08/26/2019
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