Jennifer E Abbott
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Malvern, AR
NPI 1992679872 · NPPES record last updated Oct 2, 2025
Key facts
- NPI
- 1992679872
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- License
- R086772 (AR)
- Practice address
- 525 Acme Pit Rd
Malvern, AR 72104-8523 - Phone
- (501) 762-6713
- NPI assigned
- Oct 2, 2025
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R086772 | AR | MD | Student in an Organized Health Care Education/Training Program |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | AR | ||
| Student in an Organized Health Care Education/Training Program | 390200000X | AR | ||
| Student in an Organized Health Care Education/Training Program | 390200000X | R086772 | AR | Yes |
Addresses
Primary practice location
525 Acme Pit Rd
Malvern, AR 72104-8523
Mailing address
525 Acme Pit Rd
Malvern, AR 72104-8523
Other providers in Malvern, AR
- Mary Suzanne Abercrombie
- Access Medical Clinic Arkansas LTC LLC
- Access Medical Clinic Arkansas LTC LLC
- Luke Adams
- Kera Beth Addison
All providers in Malvern, AR · Student in an Organized Health Care Education/Training Program in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 2, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.