Jerrica Lacey Luster
Nurse Practitioner - Psychiatric/Mental Health
3604 Central Ave Ste D
Hot Springs
, Arkansas 71913-6458
Jerrica Lacey Luster
Nurse Practitioner - Psychiatric/Mental Health
3604 Central Ave Ste D
Hot Springs
, Arkansas 71913-6458
(479) 243-0285
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About
Features
Specialties
- Nurse Practitioner - Psychiatric/Mental Health
Languages spoken
- English
Location
First Address
- Jerrica Lacey Luster
- Po Box 1848
- Mena, AR
- Zip : 71953-1841
- Fax : (479) 243-0285
- Phone : (888) 710-8220
Second Address
- Jerrica Lacey Luster
- 3604 Central Ave Ste D
- Hot Springs, AR
- Zip : 71913-6458
- Phone : (501) 463-4074
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | 214728 | AR |
National Provider Identifier
| NPI | 1013595420 |
|---|---|
| Provider Name | Jerrica Lacey Luster |
| First Address | Mena, AR 71953-1841 |
| Second Address | Hot Springs, AR 71913-6458 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 30/03/2021 |
| Last Update Date | 30/03/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.