Individual
JILLIAN POLLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5224 E I 240 SERVICE RD STE 201, OKLAHOMA CITY, OK 73135
(405) 608-3800
(405) 628-6495
Mailing address
7800 NW 85TH TER, OKLAHOMA CITY, OK 73132-3385
(405) 972-7239
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2930
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2930
OKLAHOMA PA LICENSE NUMBER
OK
Enumeration date
11/29/2018
Last updated
05/02/2019
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