Phasey, Jennifer

Phasey, Jennifer is an individual health care provider with primary practice located at 3400 N Woods Ln , Rogers AR 72756-6712. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Phasey, Jennifer can be contacted via phone (479) 636-3190.

Contact Information

Primary practice address
3400 N Woods Ln Rogers AR 72756-6712
Phone: (479) 636-3190
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X L053166 Arkansas

Profile Details

NPI number 1396443818
LBN Legal business name Phasey, Jennifer
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 23rd, 2023
Last updated Feb 23rd, 2023 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1396443818 NPPES
Arkansas MEDICAID 164W00000X

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