Search › Arkansas › 367500000X
Holly Jacek, CRNA
NPI 1255605267 · on the registry since 2012
Practice
- Address
- 4301 W Markham St # 515
Little Rock, AR 72205 - Phone
- (501) 686-6114
- Fax
- (501) 686-8139
- Clinicians at this address
- 115
Additional practice sites
- 500 S. University Ave., Little Rock, AR
Registry record
- Primary taxonomy
- 367500000X
367500000X
- Also registered as
- 163W00000X
- Licence states on file
- AR
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-05-30
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