Spears, Jennie Marie

Spears, Jennie Marie is an individual health care provider with primary practice located at 146A Passion Play Rd , Eureka Springs AR 72632. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Spears, Jennie Marie can be contacted via phone (479) 253-9746.

Contact Information

Primary practice address
146A Passion Play Rd Eureka Springs AR 72632
Phone: (479) 253-9746
Fax: (479) 253-2464
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X AP4579 Arizona
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X A005272 Arkansas

Profile Details

NPI number 1699785899
LBN Legal business name Spears, Jennie Marie
Credentials FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2006
Last updated Jun 20th, 2019 - about 7 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 1699785899 NPPES
Arizona MEDICAID 748699

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