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Jack Gillison

NPI 1992225072 · on the registry since 2017

Practice

Address
4253 N Crossover Rd
Fayetteville, AR 72703
Phone
(479) 442-8577
Organisation at this address
Kaley Md Mhs Inc
Aprn Medical Llc
Vista Health Day Treatment
Texarkana Behavioral Associates Lc
Texarkana Behavioral Associates, L.C.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
74

Registry record

Primary taxonomy
171M00000X
171M00000X
Licence states on file
NULL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2017-06-21

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arkansas