JENNIFER DIANE LILES

BELLA VISTA, AR
NPI1174069611
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: AR  A004988)
Enumeration Date2017-01-09
Last Update Date2017-01-09
Business Address
-- JENNIFER DIANE LILES APRN
600 MEMORIAL DR
BELLA VISTA, AR 72714-1847
Phone number: 479-855-6165
Mailing Address
-- JENNIFER DIANE LILES APRN
600 MEMORIAL DR
BELLA VISTA, AR 72714-1847
Phone number: 479-855-6165
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