Individual
MS. MICHELLE JOHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
2615 W MAIN ST, JACKSONVILLE, AR 72076-4215
(501) 982-4578
(501) 982-1253
Mailing address
2520 W MAIN ST, JACKSONVILLE, AR 72076-4214
(501) 982-4578
(501) 982-1253
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
OTR214
AR
Other
Enumeration date
11/01/2006
Last updated
07/09/2007
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