JERRICA LACEY LUSTER

BRYANT, AR
NPI1013595420
Former NameJERRICA BALLANCE
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: AR  214728)
Enumeration Date2021-03-30
Last Update Date2025-07-22
Business Address
JERRICA LACEY LUSTER APRN-PMHNP
6023 HARDIN DR
BRYANT, AR 72022-7528
Phone number: 501-794-7897
Mailing Address
JERRICA LACEY LUSTER APRN-PMHNP
6023 HARDIN DR
BRYANT, AR 72022-7528
Phone number: 501-794-7897
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