JERRAMY ICENHOWER

LITTLE ROCK, AR
NPI1740819135
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: AR  123834)
Enumeration Date2020-04-07
Last Update Date2020-04-07
Business Address
JERRAMY ICENHOWER NP
200 RIVER MARKET AVE STE 300
LITTLE ROCK, AR 72201-1770
Phone number: 501-492-0099
Mailing Address
JERRAMY ICENHOWER NP
PO BOX 9178
RUSSELLVILLE, AR 72811-9178
Phone number: 855-498-6767
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