Icenhower, Jerramy
Icenhower, Jerramy is an sole proprietor health care provider with primary practice located at 1016 N Fourche Ave , Perryville AR 72126-8545. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Icenhower, Jerramy can be contacted via phone (501) 238-1284.Contact Information
Primary practice address
1016 N Fourche Ave
Perryville AR 72126-8545
Phone: (501) 238-1284
Fax: (501) 468-0469
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 123834 | Arkansas |
Profile Details
| NPI number | 1740819135 |
|---|---|
| LBN Legal business name | Icenhower, Jerramy |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 7th, 2020 |
| Last updated | Dec 31st, 2024 - 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.
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