Individual provider · Type 1 NPI

Jerry Wayne Lazerus

Registered Nurse · Malvern, AR

NPI number 1881754422 Active

Practice location

13291 Highway 67
Malvern, AR 72104-7431

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse Primary 163W00000XR28178 (AR)
Certified Registered Nurse Anesthetist 367500000XC00450 (AR)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1881754422

Jerry Wayne Lazerus's National Provider Identifier is 1881754422, issued on Dec 12, 2006. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Malvern, AR. The record was last updated on Sep 11, 2025.