JERRICA LACEY LUSTER APRN-CNP NPI 1013595420

NPI Information

NPI: 1013595420
Provider Name: JERRICA LACEY LUSTER, APRN-CNP
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

Address:
3604 CENTRAL AVE STE D
HOT SPRINGS, AR
ZIP 71913
Phone: (501) 463-4074
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Jerrica Lacey Luster, APRN-CNP is a psychiatric/mental health nurse practitioner in Hot Springs, AR. Jerrica Lacey Luster, APRN-CNP NPI is 1013595420. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3604 CENTRAL AVE STE D
HOT SPRINGS, AR
ZIP 71913-458
Phone: (501) 463-4074

The enumeration date for this NPI number is 3/30/2021 and was last updated on 3/30/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	214728	ARKANSAS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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