NPI 1407409428

Jenisha Rae Mermis

Practitioner Independent Duty Medical Technicians Little Rock Afb, AR

Practice location

Address: 1090 Arnold Dr, Little Rock Afb, AR 72099-4933
Phone: (520) 308-9190
Mailing address: 327 W Sunset Rd APT 2228, San Antonio, TX 78209-1750

Registered specialties

Independent Duty Medical Technicians Primary

Other Service Providers Taxonomy 1710I1003X

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Registry record

NPI: 1407409428
Entity type: Individual
Sex (as registered): Female
NPI issued: 18 Jul 2019
Record last updated: 18 Jul 2019

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.