JILLISA D HAWK

BEREA, KY
NPI1053567552
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner Family
(Licence: KY  5652P)
Enumeration Date2008-08-15
Last Update Date2008-08-15
Business Address
MS. JILLISA D HAWK ARNP
305 ESTILL ST
BEREA, KY 40403-1742
Phone number: 859-986-9521
Mailing Address
MS. JILLISA D HAWK ARNP
PO BOX 484
BEREA, KY 40403-0484
Phone number: 859-986-9521
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