Pena, Jacquelyn Michelle
Pena, Jacquelyn Michelle is an individual health care provider with primary practice located at 1 Childrens Way # 512-8 , Little Rock AR 72202-3500. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Pena, Jacquelyn Michelle can be contacted via phone (501) 364-4361.Contact Information
Primary practice address
1 Childrens Way # 512-8
Little Rock AR 72202-3500
Phone: (501) 364-4361
Fax: (501) 364-3404
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | E-16688 | Arkansas |
Profile Details
| NPI number | 1255960035 |
|---|---|
| LBN Legal business name | Pena, Jacquelyn Michelle |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 3rd, 2020 |
| Last updated | Aug 24th, 2023 - about 3 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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