JACEE MAE BANNING APRN
NPI 1275354417
Nurse Practitioner - Family in Van Buren, AR
Active since October 21, 2024
2010 CHESTNUT ST STE B, VAN BUREN, AR 72956(479) 262-2724(479) 262-2727 Get Directions Write a Review
About Jacee Mae Banning Aprn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACEE MAE BANNING APRN (NPI 1275354417) is an individual family provider in Van Buren, Arkansas, licensed in Arkansas (230639) and active in the NPI registry since October 2024.
NPPES Registry Identity
NPI1275354417
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJACEE MAE BANNINGCredential: APRN
Location Address2010 CHESTNUT ST STE BVan Buren, AR 72956-5340
Mailing Address3200 S 55th StFort Smith, AR 72903-4714 · (479) 461-2145
Phone(479) 262-2724
Fax(479) 262-2727
Sole ProprietorNo
Enumeration DateOctober 21, 2024
NPPES CertifiedOctober 21, 2024
✔ NPI 1275354417 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in AR · 230639
2010 CHESTNUT ST STE B, Van Buren, AR 72956
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1275354417, enumerated as an "individual" on October 21, 2024.
The provider is located at 2010 CHESTNUT ST STE B VAN BUREN, AR 72956 and the phone number is (479) 262-2724.
Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.
