Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0000X | Internist - Cardiovascular Disease | E-3343 | AR |
Y | 207RG0300X | Geriatric Medicine | E-3343 | AR |
NPI | 1104893858 |
---|---|
Provider Name | Jeanne Y Wei |
First Address | Little Rock, AR 72205-7101 |
Second Address | Little Rock, AR 72205-7101 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/03/2006 |
Last Update Date | 29/03/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
146721001 | (05) | AR |
380001847 | RAILROAD MEDICARE (01) | AR |
B76529 | (02) |