Individual
JILLIAN HORTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.CCC-SLP
Contact information
Practice address
200 NW 4TH ST, BRYANT, AR 72022-3424
(501) 847-5600
Mailing address
5611 S 59TH STREET, ROGERS, AR 72758, ROGERS, AR 72758-2174
(479) 426-0645
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
P8764
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
202232721
—
AR
Enumeration date
05/20/2014
Last updated
01/18/2024
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