Individual
JASON GILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN-CNP
Contact information
Practice address
1804 N 18TH ST, PARAGOULD, AR 72450-4897
(870) 215-3095
Mailing address
1804 N 18TH ST, PARAGOULD, AR 72450-4897
(870) 215-3095
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
213176
AR
Other
Enumeration date
01/19/2021
Last updated
01/19/2021
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