1. Home
  2. Directory
  3. Arkansas
  4. Crossett
  5. Specialist
  6. NPI Profile

CANDACE JERRY LMT, RN
NPI 1538449640
Specialist in Crossett, AR

Active since August 19, 2011
301 PETERSBURG RD, CROSSETT, AR 71635(870) 304-2200 Get Directions Write a Review

NPPES record last updated: August 19, 2011. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Candace Jerry Lmt, Rn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CANDACE JERRY LMT, RN (NPI 1538449640) is an individual specialist in Crossett, Arkansas, licensed in Arkansas (7322) and active in the NPI registry since August 2011.

NPPES Registry Identity

NPI1538449640
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameCANDACE JERRYCredential: LMT, RN
Location Address301 PETERSBURG RDCrossett, AR 71635-3908
Mailing Address301 Petersburg RdCrossett, AR 71635-3908 · (870) 304-2200
Phone(870) 304-2200
Sole ProprietorNo
Enumeration DateAugust 19, 2011
✔ NPI 1538449640 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in AR · 7322
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
301 PETERSBURG RD, Crossett, AR 71635
Open in Google Maps ↗

Other Identifiers 1

Other12266362AR · Caqh

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Candace Jerry's NPI number?

The NPI number for Candace Jerry is 1538449640. It was assigned to this individual provider in the NPPES registry on August 19, 2011.

Where is Candace Jerry located?

Candace Jerry practices at 301 Petersburg Rd, Crossett, AR 71635. The listed phone number is (870) 304-2200.

What is Candace Jerry's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Candace Jerry was last updated on August 19, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.