Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0208X | Pediatric Infectious Diseases | E-5009 | AR |
NPI | 1346235611 |
---|---|
Provider Name | Dr. Jessica R Snowden |
First Address | Little Rock, AR 72202-3500 |
Second Address | Little Rock, AR 72202 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/09/2005 |
Last Update Date | 21/05/2018 |