Individual
JILL LORRAINE THITOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-CNP
Contact information
Practice address
1100 PINETREE LN, MOUNTAIN HOME, AR 72653-4502
(870) 232-0320
(870) 232-0326
Mailing address
1100 PINETREE LN, MOUNTAIN HOME, AR 72653-4502
(870) 232-0320
(870) 232-0326
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
218852
AR
363LF0000X
Family Nurse Practitioner
218852
AR
363LP2300X
Primary Care Nurse Practitioner
218852
AR
Other
Enumeration date
02/01/2022
Last updated
10/17/2024
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