Nutt, Jessica
Nutt, Jessica is an individual health care provider with primary practice located at 1110 W Kingshighway , Paragould AR 72450-4164. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Nutt, Jessica can be contacted via phone (870) 205-2000.Contact Information
Primary practice address
1110 W Kingshighway
Paragould AR 72450-4164
Phone: (870) 205-2000
Fax: (870) 205-2001
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Registered Nurse | 163W00000X | R096622 | Arkansas |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | A005209 | Arkansas |
Profile Details
| NPI number | 1477935385 |
|---|---|
| LBN Legal business name | Nutt, Jessica |
| Credentials | Advanced Practice Registered Nurse (APRN) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 27th, 2015 |
| Last updated | Dec 2nd, 2020 - about 6 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 | 1477935385 | NPPES |
| Arkansas | MEDICAID | 222197758 |
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