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JERRAMY ICENHOWER NP
NPI 1740819135
Nurse Practitioner - Family in Perryville, AR

Active since April 07, 2020
1016 N FOURCHE AVE, PERRYVILLE, AR 72126(501) 238-1284(501) 468-0469 Get Directions Write a Review

NPPES record last updated: December 31, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 31, 2024, Apr 7, 2020 (2 updates tracked since 2020).

About Jerramy Icenhower Np NPPES

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

JERRAMY ICENHOWER NP (NPI 1740819135) is an individual family provider in Perryville, Arkansas, licensed in Arkansas (123834) and active in the NPI registry since April 2020. He maintains a secondary practice location in Little Rock.

NPPES Registry Identity

NPI1740819135
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameJERRAMY ICENHOWERCredential: NP
Location Address1016 N FOURCHE AVEPerryville, AR 72126-8545
Mailing Address4196 Highway 62 412 Ste AHardy, AR 72542-8002
Phone(501) 238-1284
Fax(501) 468-0469
Sole ProprietorYes
Enumeration DateApril 7, 2020
Last NPPES UpdateDecember 31, 20242 updates tracked since enumeration
NPPES CertifiedDecember 31, 2024
✔ NPI 1740819135 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 · 123834
1016 N FOURCHE AVE, Perryville, AR 72126
Open in Google Maps ↗

Secondary Practice Location 1

Location 1200 River Market Ave Ste 300Little Rock, AR 72201-1770 · Phone (501) 492-0099 · Fax (479) 968-1673

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WHITLEY ERIN HARRIS APRN
Nurse Practitioner (Family)
1016 N FOURCHE AVE
PERRYVILLE, AR 72126
Perry County (501) 238-1284
MRS. TERESA MICHELLE WHITWELL APRN
Nurse Practitioner (Family)
1016 N FOURCHE AVE
PERRYVILLE, AR 72126
Perry County (501) 238-1284
BRANDIE TINDELL APRN
Nurse Practitioner (Family)
1016 N FOURCHE AVE
PERRYVILLE, AR 72126
Perry County (870) 856-1202
MRS. SUSAN MICHELLE HAWKINS FNP-C
Nurse Practitioner (Family)
1016 N FOURCHE AVE
PERRYVILLE, AR 72126
Perry County (501) 238-1284
CLAIRE W GOLDEN PA-C
Physician Assistant
1016 N FOURCHE AVE
PERRYVILLE, AR 72126
Perry County (501) 238-1284
CHINA KATHLEEN ADAIR SMITH PA-C
Physician Assistant
1016 N FOURCHE AVE
PERRYVILLE, AR 72126
Perry County (501) 238-1284
ERICA YOUNG APRN-CNP
Nurse Practitioner (Gerontology)
1016 N FOURCHE AVE
PERRYVILLE, AR 72126
Perry County (501) 238-1284

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 Jerramy Icenhower's NPI number?

The NPI number for Jerramy Icenhower is 1740819135. It was assigned to this individual provider in the NPPES registry on April 7, 2020.

Where is Jerramy Icenhower located?

Jerramy Icenhower practices at 1016 N Fourche Ave, Perryville, AR 72126. The listed phone number is (501) 238-1284.

What is Jerramy Icenhower's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Jerramy Icenhower was last updated on December 31, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.