Search › Arkansas › 208VP0014X
Jared Ennis, MD
NPI 1467539155 · on the registry since 2006
Practice
- Address
- 4019 N Remington Dr
Fayetteville, AR 72703 - Phone
- (479) 595-8192
- Fax
- (479) 442-1748
Registry record
- Primary taxonomy
- 208VP0014X
208VP0014X
- Also registered as
- 207L00000X
- Licence states on file
- AR
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-03-29
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