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Candace Jerry, LMT,RN
Specialist in Crossett, Arkansas
NPI 1538449640

Candace Jerry is a Specialist based in Crossett, AR. Candace Jerry practices in Crossett, AR and has the professional credentials of LMT,RN. The NPI Number for Candace Jerry is 1538449640 and holds a License No. 7322 (Arkansas).

The current practice location address for Candace Jerry is 301 Petersburg Rd, Crossett, AR and can be reached out via phone at 870-304-2200.

Location: 301 Petersburg Rd, Crossett, AR, 71635-3908
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1538449640
Provider Name
Candace Jerry
Credential
LMT,RN
Provider Entity Type
Individual
Gender
Female
Address
301 Petersburg Rd, Crossett, AR, 71635-3908
Phone Number
870-304-2200
Fax Number
Provider Enumeration Date
08/19/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
12266362 01 AR CAQH
institution
Provider Business Practice Location Address Details
Address
301 Petersburg Rd
City
Crossett
State
Arkansas
Zip
71635-3908
Phone Number
870-304-2200
Fax Number
person
Provider Business Mailing Address Details
Address
301 Petersburg Rd
City
Crossett
State
Arkansas
Zip
71635-3908
Phone Number
870-304-2200
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
7322 (Arkansas)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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