Individual
JESSICA WELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2708 S RIFE MEDICAL LN STE 210, ROGERS, AR 72758-1456
(479) 338-4400
(479) 338-4445
Mailing address
2708 S RIFE MEDICAL LN STE 210, ROGERS, AR 72758-1456
(479) 338-4400
(479) 338-4445
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA-619
AR
Other
Enumeration date
05/26/2015
Last updated
06/14/2019
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