Dennis William Jacks, CRNA
NPI #1063790079 in Little Rock, Arkansas
Provider Information
- NPI Number
- 1063790079
- Entity Type
- Individual
- Name
- Dennis William Jacks, CRNA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Anesthetist, Certified Registered
- Credential
- CRNA
- Enumeration Date
- Jul 25, 2011
- Last Updated
- Jun 16, 2015
Practice Location
- Address
- 6119 MIDTOWN AVE
- Address 2
- SUITE 201
- City
- Little Rock
- State
- Arkansas
- ZIP Code
- 72205-5313
- Phone
- (501) 664-4532
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Anesthetist, Certified Registered |
| Registered Nurse |
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