Jeffrey Dupre Jr., CRNA
Nurse Anesthetist, Certified Registered in Mountain Home, AR. Individual provider (NPI-1).
NPI number1164044665
StatusActive
Last updated in NPPESMay 7, 2020
Details
- NPI
- 1164044665
- Entity type
- Individual (NPI-1)
- Name
- Jeffrey Dupre Jr.
- Credential
- CRNA
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 7, 2020
- Certification date
- May 7, 2020
- Last updated
- May 7, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 124699 | AR | Yes |
Practice location
624 Hospital DrMountain Home, AR 72653-2955
Phone 870-508-1000
Mailing address
372 Northpointe DrMountain Home, AR 72653-8131
Phone 205-393-6420
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All 19 Certified Registered Nurse Anesthetist providers in Mountain Home · All 1,273 providers in Mountain Home
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