Organization
JOLLIFFE RESTORATIVE MEDICINE & AESTHETICS INSTITUTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RONNELL JANE KULISH (BILLING MANAGER)
(701) 204-7772
Entity
Organization
Contact information
Practice address
1400 43RD AVE NE STE 420, BISMARCK, ND 58503-6193
(701) 955-4559
(701) 751-1721
Mailing address
1400 43RD AVE NE STE 420, BISMARCK, ND 58503-6193
(701) 955-4559
(701) 751-1721
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
12/06/2021
Last updated
12/06/2021
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