Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JARED ENNIS, MD
ActiveJARED ENNIS, MD is a Interventional Vascular Surgery healthcare provider located in FAYETTEVILLE, Arkansas. NPI 1467539155 is currently active in the NPPES registry. Verify at CMS.
Interventional Vascular Surgery · FAYETTEVILLE, AR
Registration Details
- NPI Number
- 1467539155
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 1, 2006 (19.794276267934 yrs)
- Last Updated
- Mar 29, 2023
- Licenses
-
E-4271 (AR)E-4271 (AR)
Practice Information
- Address
-
4019 N REMINGTON DRFAYETTEVILLE, AR, 727036344Browse AR providers · Browse ZIP 72703
- Phone
- 4795958192
- Fax
- 4794421748
- Primary Specialty
-
Interventional Vascular Surgery
208VP0014X
- Additional Specialty
- Anesthesiology
Other Interventional Vascular Surgery Providers in FAYETTEVILLE, AR
| Name | Credential | NPI |
|---|---|---|
| DR. ROBERT DAVID CANNON | M.D. | 1104806702 |
| JASON HOLT | MD | 1932328267 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.