NPI 1447756374

Jordan Hanberry, MD

Practitioner Urology Physician Pine Bluff, AR

Practice location

Address: 1601 W 40th Ave STE 301c, Pine Bluff, AR 71603-6069
Phone: (870) 541-6060
Fax: (870) 541-6061
Mailing address: PO Box 2650, Pine Bluff, AR 71613-2650

Registered specialties (2)

Urology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208800000X Licence E14322 (AR)

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Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X

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Registry record

NPI: 1447756374
Entity type: Individual
Sex (as registered): Male
NPI issued: 31 Mar 2018
Record last updated: 12 Jul 2023

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.