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Contact Information

JENNIFER DEWITT
623 N 9TH ST
AUGUSTA, AR72006-2129
 Phone: 870-317-9999
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Diabetes Educator

163WD0400X
Indicates primary specialty

NPI Profile & details for JENNIFER DEWITT · (Female)

NPI # 1396393773
Status Active
Credentials
Entity Individual
Enumeration date 08/29/2019
Last updated 08/29/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • AR License # R090029
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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