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Individual

JENNIFER TERRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
300 E 6TH ST, TEXARKANA, AR 71854-5207
(870) 799-6093
Mailing address
3417 U OF A WAY, TEXARKANA, AR 71854-1419
(870) 779-6000

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
E15106
AR
207Q00000X
Family Medicine Physician
Primary
E15106
AR
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
05/17/2020
Last updated
08/10/2022
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