Jaressa Banks

NPI 1184198657 · on the registry since 2019 · sole proprietor

Practice

Address: 315 E Union Ave
Osceola, AR 72370
Phone: (870) 563-1331
Organisation at this address: Advancedtherapy Of Northeast Arkansas,Llc
Mississippi County Child Development Center
Mississippi County Child Development Center
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 12

Registry record

Primary taxonomy: Specialist
174400000X
Licence states on file: AR
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2019-01-17

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arkansas