JESSICA H MACK DNP, APRN, AGACNP-BC
NPI 1043048648
Nurse Practitioner - Acute Care in El Dorado, AR
Active since July 24, 2024
About Jessica H Mack Dnp, Aprn, Agacnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JESSICA H MACK DNP, APRN, AGACNP-BC (NPI 1043048648) is an individual acute care provider in El Dorado, Arkansas, licensed in Arkansas (229576) and active in the NPI registry since July 2024.
NPPES Registry Identity
NPI1043048648
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameJESSICA H MACKCredential: DNP, APRN, AGACNP-BC
Location Address403 W GROVE STEl Dorado, AR 71730
Mailing Address484 Elaine AveCamden, AR 71701-3216
Phone(870) 875-1481
Sole ProprietorNo
Enumeration DateJuly 24, 2024
NPPES CertifiedJuly 24, 2024
✔ NPI 1043048648 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in AR · 229576
403 W GROVE ST, El Dorado, AR 71730
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1043048648, enumerated as an "individual" on July 24, 2024.
The provider is located at 403 W GROVE ST EL DORADO, AR 71730 and the phone number is (870) 875-1481.
Nurse Practitioner with taxonomy code 363LA2100X and a focus in Acute Care.
