Doctor Name: | MRS. JESSICA M ARNOLD |
NPI Number: | 1073813754 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN |
License Number: | 28171453A |
Business Practice Address: | 126 Missouri Ave Bldg 312 Fort Leonard Wood, MO - 654738952 |
Business Phone Number: | 5735635208 |
Business Fax Number: | 5735960168 |
Mailing Address: | 126 Missouri Ave, Bldg 312 FORT LEONARD WOOD |
State: | MO |
Postal Code: | 654738952 |
Phone Number: | 5735635208 |
Fax Number: | 5735960168 |
NPI Enumeration Date: | 10/27/2010 |
NPI Last Update Date: | 10/27/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WC0400X |
License Number: | 28171453A |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IN |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Case Management |
Taxonomy Definition: |