Reese, Jerrad C

Reese, Jerrad C is an individual health care provider with primary practice located at 624 Hospital Dr , Mountain Home AR 72653-2955. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Reese, Jerrad C can be contacted via phone (870) 508-1000.

Contact Information

Primary practice address
624 Hospital Dr Mountain Home AR 72653-2955
Phone: (870) 508-1000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X A03169 Arkansas

Profile Details

NPI number 1235371758
LBN Legal business name Reese, Jerrad C
Credentials ANP FNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 30th, 2009
Last updated Sep 7th, 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 1235371758 NPPES
Arkansas MEDICAID 181926758

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