Provider Demographics
NPI:1164790978
Name:SESSIONS, JEANNE NICOLE (DPT)
Entity Type:Individual
Prefix:DR
First Name:JEANNE
Middle Name:NICOLE
Last Name:SESSIONS
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:105 GRAND RIDGE TER
Mailing Address - Street 2:
Mailing Address - City:HOT SPRINGS
Mailing Address - State:AR
Mailing Address - Zip Code:71901-9219
Mailing Address - Country:US
Mailing Address - Phone:501-428-1985
Mailing Address - Fax:
Practice Address - Street 1:105 GRAND RIDGE TER
Practice Address - Street 2:
Practice Address - City:HOT SPRINGS
Practice Address - State:AR
Practice Address - Zip Code:71901-9219
Practice Address - Country:US
Practice Address - Phone:501-428-1985
Practice Address - Fax:501-701-4207
Is Sole Proprietor?:No
Enumeration Date:2011-12-07
Last Update Date:2018-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR3389225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR196488721Medicaid