Provider Demographics
NPI:1821473612
Name:BAILEY, JENNA CAROLINE (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:JENNA
Middle Name:CAROLINE
Last Name:BAILEY
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:403 HICKORY CREEK CT SE
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72212-2507
Mailing Address - Country:US
Mailing Address - Phone:501-259-9159
Mailing Address - Fax:
Practice Address - Street 1:12700 CHENAL PKWY
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72211-3360
Practice Address - Country:US
Practice Address - Phone:501-707-1996
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-07-22
Last Update Date:2015-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARPD13285183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist