Individual
DR. CHRISTINA A JETTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1430 W C ST, RUSSELLVILLE, AR 72801-2805
(479) 968-6781
(479) 968-3074
Mailing address
PO BOX 925, RUSSELLVILLE, AR 72811-0925
(479) 968-6781
(479) 968-3074
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
E2643
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
145744001
—
AR
01
—
770158001
BREASTCARE
AR
Enumeration date
03/22/2006
Last updated
05/31/2024
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