| Doctor Name: | MRS. JENNIFER LYNN DEPEW |
| NPI Number: | 1265673735 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | R.N. |
| License Number: | R68969 |
| Business Practice Address: | 902 W Trimble Ave Berryville, AR - 726164601 |
| Business Phone Number: | 8704232762 |
| Business Fax Number: | 8704232141 |
| Mailing Address: | 26748 Deer Ln, SHELL KNOB |
| State: | MO |
| Postal Code: | 657478239 |
| Phone Number: | 4178583606 |
| Fax Number: | |
| NPI Enumeration Date: | 03/13/2009 |
| NPI Last Update Date: | 03/13/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WS0200X |
| License Number: | R68969 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AR |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | School |
| Taxonomy Definition: | |