Jennings, Janna Lyn

Jennings, Janna Lyn is an individual health care provider with primary practice located at 5 Medical Park Dr Suite 102A, Benton AR 72015-3729. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Jennings, Janna Lyn can be contacted via phone (501) 315-1222.

Contact Information

Primary practice address
5 Medical Park Dr Suite 102A Benton AR 72015-3729
Phone: (501) 315-1222
Fax: (501) 315-1222
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X E5062 Arkansas

Profile Details

NPI number 1497836209
LBN Legal business name Jennings, Janna Lyn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 18th, 2006
Last updated Dec 15th, 2010 - about 14 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 1497836209 NPPES
Arkansas MEDICAID 162043001
Arkansas Other T2006-171

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