Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JENNIFER NIPPS WALLGREN, RNFA
ActiveNeuroscience Nurse · NORTH LITTLE ROCK, AR
Registration Details
- NPI Number
- 1578583811
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 20, 2006 (19.764810468184 yrs)
- Last Updated
- Jun 28, 2019
- License
-
R62755 (AR)
Practice Information
- Address
-
5201 NORTHSHORE DR STE 100NORTH LITTLE ROCK, AR, 721185312Browse AR providers · Browse ZIP 72118
- Phone
- 5012250880
- Fax
- 5012255694
- Primary Specialty
-
Neuroscience Nurse
163WN0800X
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.