Halliburton, Jennifer

Halliburton, Jennifer is an individual health care provider with primary practice located at 105 N Jackson St , Cabot AR 72023-3058. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Halliburton, Jennifer can be contacted via phone (501) 941-3522.

Contact Information

Primary practice address
105 N Jackson St Cabot AR 72023-3058
Phone: (501) 941-3522
Fax: (501) 941-3525
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X A004005 Arkansas

Profile Details

NPI number 1962825562
LBN Legal business name Halliburton, Jennifer
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 3rd, 2014
Last updated Jul 21st, 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 1962825562 NPPES
Arkansas MEDICAID 200980758

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