JERRICA LACEY LUSTER

HOT SPRINGS, 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 Date2022-04-26
Business Address
JERRICA LACEY LUSTER APRN-PMHNP
3604 CENTRAL AVE STE D
HOT SPRINGS, AR 71913-6458
Phone number: 888-710-8220
Mailing Address
JERRICA LACEY LUSTER APRN-PMHNP
PO BOX 1848
MENA, AR 71953-1841
Phone number: 479-437-3449
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