Individual
JILL WHATLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
1350 S GUTENSOHN RD, STE. #10, SPRINGDALE, AR 72762-5117
(479) 751-7122
Mailing address
1350 S GUTENSOHN RD, STE. #10, SPRINGDALE, AR 72762-5117
(479) 751-7122
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
OTR2039
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
131922742
—
AR
Enumeration date
05/13/2008
Last updated
05/13/2008
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