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Individual

JENNIFER ELAINE PIERCE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSPT

Contact information

Practice address
2615 W MAIN ST, JACKSONVILLE, AR 72076-4215
(501) 982-4578
(501) 982-1253
Mailing address
5200 PEAR ORCHARD DR, LITTLE ROCK, AR 72206-8818
(501) 261-7903

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2014
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
159514721
AR
Enumeration date
10/24/2006
Last updated
07/08/2007
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