Jerramy Icenhower, NP
NPI #1740819135 in Perryville, Arkansas
Provider Information
- NPI Number
- 1740819135
- Entity Type
- Individual
- Name
- Jerramy Icenhower, NP
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Nurse Practitioner - Family
- Credential
- NP
- Enumeration Date
- Apr 7, 2020
- Last Updated
- Dec 31, 2024
Practice Location
- Address
- 1016 N FOURCHE AVE
- City
- Perryville
- State
- Arkansas
- ZIP Code
- 72126-8545
- Phone
- (501) 238-1284
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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