NPI 1114807088
Jamisen Jewell Gauntt
Practice location
- Address
- 101 Shady Park Ln, Bono, AR 72416-9581
- Phone
- (870) 586-3368
Registered specialties
Pediatric Rehabilitation Medicine Physician
Primary
Registry record
- NPI
- 1114807088
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 3 Sep 2025
- Record last updated
- 3 Sep 2025
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.