Jessica Renee Archer, FNP
Nurse Practitioner, Family in Benton, AR. Individual provider (NPI-1).
NPI number1346972437
StatusActive
Last updated in NPPESJun 27, 2022
Details
- NPI
- 1346972437
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Jessica Renee Archer
- Credential
- FNP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 27, 2022
- Certification date
- Jun 27, 2022
- Last updated
- Jun 27, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 220719 | AR | Yes |
Practice location
824 Military RdBenton, AR 72015-3347
Phone 501-574-3019
Mailing address
8400 CrossroadsBenton, AR 72015-7176
Phone 501-249-2549
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