Individual
JAMIE MICHELLE ZIMMERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
222 E DAVE WARD DR, CONWAY, AR 72032-7120
(501) 505-8400
Mailing address
200 CORPORATE BLVD, LAFAYETTE, LA 70508-3870
(800) 893-9698
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
A004014
AR
363LF0000X
Family Nurse Practitioner
Primary
A004014
AR
Other
Enumeration date
01/27/2014
Last updated
02/25/2021
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