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
Mailing address13291 Highway 67, Malvern, AR 72104-7431

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