Reagan, Jessica
Reagan, Jessica is an individual health care provider with primary practice located at 1016 Mcquay Ave , Pocahontas AR 72455. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Reagan, Jessica can be contacted via phone (870) 892-9949.Contact Information
Primary practice address
1016 Mcquay Ave
Pocahontas AR 72455
Phone: (870) 892-9949
Fax: (870) 892-0208
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | A004551 | Arkansas |
Profile Details
| NPI number | 1477918738 |
|---|---|
| LBN Legal business name | Reagan, Jessica |
| Credentials | Advanced Practice Registered Nurse (APRN) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 30th, 2015 |
| Last updated | Dec 15th, 2023 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1477918738 | NPPES |
| Arkansas | MEDICAID | 212613758 |
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