Provider Demographics
NPI:1659848133
Name:SEARS, JESSICA K (NP)
Entity Type:Individual
Prefix:MRS
First Name:JESSICA
Middle Name:K
Last Name:SEARS
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3959 N. STEELE BLVD
Mailing Address - Street 2:UPTOW
Mailing Address - City:F
Mailing Address - State:AR
Mailing Address - Zip Code:72703
Mailing Address - Country:US
Mailing Address - Phone:479-335-5777
Mailing Address - Fax:
Practice Address - Street 1:3959 N. STEELE BLVD
Practice Address - Street 2:UPTOWN SUITE 122
Practice Address - City:FAYETTEVILLE
Practice Address - State:AR
Practice Address - Zip Code:72703
Practice Address - Country:US
Practice Address - Phone:479-335-5777
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-11-01
Last Update Date:2022-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP139399207QA0505X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult Medicine