IndividualActive
Jared Ennis, MD
NPI 1467539155 · Interventional Pain Medicine Physician · Fayetteville, AR
Provider details
- NPI number
- 1467539155
- Entity type
- Individual
- Primary specialty
- Interventional Pain Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- E-4271 (AR)
Practice location
4019 N Remington Dr
Fayetteville, AR 72703-6344
Phone: (479) 595-8192
Fax: (479) 442-1748
Mailing address
4019 N Remington Dr
Fayetteville, AR 72703-6344
Registry dates
- Enumerated
- 2006-11-01
- Last updated
- 2023-03-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.