JACEE MAE BANNING

VAN BUREN, AR
NPI1275354417
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: AR  230639)
Enumeration Date2024-10-21
Last Update Date2024-10-21
Business Address
JACEE MAE BANNING APRN
2010 CHESTNUT ST STE B
VAN BUREN, AR 72956-5340
Phone number: 479-262-2724
Mailing Address
JACEE MAE BANNING APRN
3200 S 55TH ST
FORT SMITH, AR 72903-4714
Phone number: 479-461-2145