Individual
JILLIAN A ISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1404 E 16TH ST, RUSSELLVILLE, AR 72802-2648
(479) 968-1298
Mailing address
1404 E 16TH ST, RUSSELLVILLE, AR 72802-2648
(479) 968-1298
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/27/2024
Last updated
08/27/2024
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