HOLLY JEANETTE JACEK

LITTLE ROCK, AR
NPI1255605267
Former NameHOLLY J ROGERS
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: AR  C02918)
Additional Taxonomies163W00000X Registered Nurse
(Licence: AR  R73609)
Enumeration Date2012-03-08
Last Update Date2023-05-30
Business Address
HOLLY JEANETTE JACEK CRNA
4301 W MARKHAM ST # 515
LITTLE ROCK, AR 72205-7101
Phone number: 501-686-6114
Mailing Address
HOLLY JEANETTE JACEK CRNA
4301 W MARKHAM ST # 783
LITTLE ROCK, AR 72205-7101
Phone number: 501-686-7000