Individual
MR. JEREMY MICHAEL USSERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
3333 SPRINGHILL DR, NORTH LITTLE ROCK, AR 72117-2922
(501) 202-3000
Mailing address
3715 MONARCH CV, CONWAY, AR 72034-3374
(501) 472-9034
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RNLICENSE#R79237
AR
367500000X
Certified Registered Nurse Anesthetist
Primary
#CTP-00182
AR
Other
Enumeration date
01/09/2012
Last updated
07/21/2022
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