Basic Information
Provider Information
NPI: 1952652398
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: FEIGHERT
FirstName: JENNIFER
MiddleName: H
NamePrefix:  
NameSuffix:  
Credential: RNMHP
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 3352 N FUTRALL DR
Address2:  
City: FAYETTEVILLE
State: AR
PostalCode: 727034057
CountryCode: US
TelephoneNumber: 4795211427
FaxNumber: 4795216520
Practice Location
Address1: 121 SAWGRASS PT
Address2:  
City: HARRISON
State: AR
PostalCode: 726013072
CountryCode: US
TelephoneNumber: 8703913871
FaxNumber: 8703913874
Other Information
ProviderEnumerationDate: 09/25/2012
LastUpdateDate: 07/09/2013
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
163W00000XR092087ARY Nursing Service ProvidersRegistered Nurse 

No ID Information.


Home