Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Jerry Wayne Lazerus

Individual provider Registered Nurse · NPI 1881754422

Mr. Jerry Wayne Lazerus is a Registered Nurse in Malvern, Arkansas. Practices as a sole proprietor. Licensed in Arkansas.

Licensed in
AR
In the registry since
2006
Specialties on file
2

Practice location Address checks out

13291 Highway 67
Malvern, AR 72104-7431
Phone: (501) 467-8061
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence R28178 (AR)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence C00450 (AR)

Record details

NPI number1881754422
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedDecember 12, 2006
Last updated in NPPESSeptember 11, 2025

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