Cavitt, Jennifer Sue

Cavitt, Jennifer Sue is an individual health care provider with primary practice located at 1601 New Castle Rd , Forrest City AR 72335-2218. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is her primary health care specialty. Cavitt, Jennifer Sue can be contacted via phone (870) 261-0513.

Contact Information

Primary practice address
1601 New Castle Rd Forrest City AR 72335-2218
Phone: (870) 261-0513
Fax: (870) 261-0535
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X R063197 Arkansas
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X C002865 Arkansas

Profile Details

NPI number 1033402250
LBN Legal business name Cavitt, Jennifer Sue
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 20th, 2011
Last updated Feb 13th, 2022 - about 4 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 1033402250 NPPES
Arkansas Other 1033402250 TRICARE - SOUTH REGION
Arkansas Other P01391010 TRICARE - SOUTH REGION
Arkansas Other 1033402250 TRICARE - SOUTH REGION
Arkansas Other 1033402250 TRICARE - SOUTH REGION
Arkansas MEDICAID 187980001 TRICARE - SOUTH REGION
Arkansas Other 5V596 TRICARE - SOUTH REGION

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