Brock, Jennifer Kristine

Brock, Jennifer Kristine is an sole proprietor health care provider with primary practice located at 617 Marion , Searcy AR 72143. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Brock, Jennifer Kristine can be contacted via phone (501) 305-9826.

Contact Information

Primary practice address
617 Marion Searcy AR 72143
Phone: (501) 305-9826
Fax: (501) 279-3089
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X S002264 Arkansas

Profile Details

NPI number 1154664316
LBN Legal business name Brock, Jennifer Kristine
Credentials Advanced Practice Nurse (APN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 5th, 2013
Last updated Apr 8th, 2016 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154664316 NPPES
Arkansas MEDICAID 201840758

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