Individual
MRS. JEANINE MARIE JUSTISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
8901 CARTI WAY, LITTLE ROCK, AR 72205-6523
(501) 906-3000
(501) 907-8367
Mailing address
525 WESTERN AVE, SUITE 201, CONWAY, AR 72034-4967
(501) 327-6665
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
C02628
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
165866001
—
AR
Enumeration date
06/01/2006
Last updated
09/20/2023
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