Search › Arkansas › 225100000X
Jesse Edwards
NPI 1720771330 · on the registry since 2023
Practice
- Address
- 1125 N College Ave # 100
Fayetteville, AR 72703 - Phone
- (479) 713-8630
- Fax
- (479) 713-8639
- Clinicians at this address
- 2
Additional practice sites
- 1101 S Horsebarn Rd, Rogers, AR
Registry record
- Primary taxonomy
- 225100000X
225100000X
- Licence states on file
- AR
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-10-04
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