Individual
JILL MADISON RISLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1515 LAKE LANSING RD STE A, LANSING, MI 48912-3752
(517) 487-0128
(517) 487-2639
Mailing address
12763 E GREENFIELD RD, GRAND LEDGE, MI 48837-8944
(517) 449-8598
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
MI
Other
Enumeration date
01/16/2024
Last updated
12/04/2024
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