NPI 1164144564

Jennifer Taber

Practitioner Driver Conway, AR

Practice location

Address: 8b Pete Ln, Conway, AR 72032-9076
Phone: (501) 514-8255

Registered specialties

Driver Primary

Other Service Providers Taxonomy 172A00000X

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Registry record

NPI: 1164144564
Entity type: Individual
Sex (as registered): Female
NPI issued: 13 Sep 2022
Record last updated: 13 Sep 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.