NPI 1932686987

Jilissa M Payne, RDH

Practitioner Dental Hygienist Sesser, IL

Practice location

Address: 6294 State Highway 154, Sesser, IL 62884-2163
Phone: (618) 625-6979
Mailing address: 4241 Highway 14 W, Christopher, IL 62822-1037

Registered specialties

Dental Hygienist Primary

Dental Providers Taxonomy 124Q00000X Licence 020015649 (IL)

Other Dental Hygienist providers in Illinois →

Registry record

NPI: 1932686987
Entity type: Individual
Sex (as registered): Female
NPI issued: 23 Jul 2018
Record last updated: 23 Jul 2018

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.