Individual
JESSICA ELIZABETH CARNATHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
1 CHILDRENS WAY # 512-07, LITTLE ROCK, AR 72202-3500
(501) 364-1100
(501) 364-6291
Mailing address
1 CHILDRENS WAY # 512-07, LITTLE ROCK, AR 72202-3500
(501) 364-1100
(501) 364-6291
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A03411
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
188829758
—
AR
Enumeration date
07/06/2010
Last updated
02/09/2012
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