Individual
JESSICA RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
311 WHITTINGTON AVE, HOT SPRINGS, AR 71901-3407
(501) 623-3477
(501) 624-7498
Mailing address
311 WHITTINGTON AVE, HOT SPRINGS, AR 71901-3407
(501) 623-3477
(501) 624-7498
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
10/30/2019
Last updated
10/30/2019
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