Winters, Jared Grant

Winters, Jared Grant is an individual health care provider with primary practice located at 225 E Jackson Ave , Jonesboro AR 72401-3119. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is his primary health care specialty. Winters, Jared Grant can be contacted via phone (870) 972-4100.

Contact Information

Primary practice address
225 E Jackson Ave Jonesboro AR 72401-3119
Phone: (870) 972-4100
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X R80233 Arkansas
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X C002955 Arkansas

Profile Details

NPI number 1154680338
LBN Legal business name Winters, Jared Grant
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 9th, 2012
Last updated Oct 24th, 2013 - about 13 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 1154680338 NPPES
Arkansas MEDICAID 193230001

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