Individual
JESSICA JOHEIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
10001 LILE DR, LITTLE ROCK, AR 72205-6217
(501) 227-8000
(501) 604-8758
Mailing address
10001 LILE DR, LITTLE ROCK, AR 72205-6217
(501) 227-8000
(501) 604-8758
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
E225
AR
390200000X
Student in an Organized Health Care Education/Training Program
—
AR
Other
Enumeration date
04/12/2007
Last updated
01/28/2015
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