Mrs. Jennifer Lynn Wing
Massage Therapist Lactation Consultant
12200 W Highway 62
Farmington
, Arkansas 72730-9560
Mrs. Jennifer Lynn Wing
Massage Therapist Lactation Consultant
12200 W Highway 62
Farmington
, Arkansas 72730-9560
(239) 293-5477
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About
Features
Specialties
- Lactation Consultant
- Massage Therapist
Languages spoken
- English
Location
First Address
- Mrs. Jennifer Lynn Wing
- 12200 W Highway 62
- Farmington, AR
- Zip : 72730-9560
- Phone : (239) 293-5477
Second Address
- Mrs. Jennifer Lynn Wing
- 12200 W Highway 62
- Farmington, AR
- Zip : 72730-9560
- Phone : (239) 293-5477
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 174N00000X | Lactation Consultant | ||
| Y | 225700000X | Massage Therapist | 8554 | AR |
| N | 225700000X | Massage Therapist | MT4582 | ME |
National Provider Identifier
| NPI | 1245521871 |
|---|---|
| Provider Name | Mrs. Jennifer Lynn Wing |
| First Address | Farmington, AR 72730-9560 |
| Second Address | Farmington, AR 72730-9560 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 30/04/2011 |
| Last Update Date | 20/01/2021 |
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.