JERRAMY ICENHOWER, NP
Nurse Practitioner - Family
Active
Individual
NPI: 1740819135
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Nurse Practitioner - Family | 363LF0000X | Yes | 123834 (AR) |
Frequently Asked Questions
NPI 1740819135 is the National Provider Identifier for JERRAMY ICENHOWER, NP, a Nurse Practitioner - Family provider located in Perryville, AR. This NPI was enumerated on April 7, 2020.
JERRAMY ICENHOWER, NP practices at 1016 N FOURCHE AVE, Perryville, AR 72126.
Quick Facts
- NPI
- 1740819135
- Type
- Individual
- Enumerated
- Apr 7, 2020
- Last Updated
- Dec 31, 2024
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