Individual
MRS. JAMIE LYNN GILLETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3939 N STOCKTON HILL RD, KINGMAN, AZ 86409-3247
(928) 662-9302
Mailing address
701 N 1ST ST, EMERGENCY DEPARTMENT, SPRINGFIELD, IL 62781-0002
(217) 788-3000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
085-003032
IL
363A00000X
Physician Assistant
Primary
5456
AZ
Other
Enumeration date
09/06/2007
Last updated
08/12/2021
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