NPI 1699865253 · live from the CMS NPI Registry
Jill Fussell, MD
Pediatrics in Little Rock, AR. National Provider Identifier 1699865253, active.
NPI record
| NPI | 1699865253 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Pediatrics 208000000X |
| Practice location | 800 Marshall St # 653, Little Rock, AR 72202 |
| Practice phone | 501-364-1100 |
| Enumerated | October 13, 2006 |
| Last updated | July 31, 2007 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatrics primary | 208000000X | E-3278 (AR) |
| Pediatrics, Developmental - Behavioral Pediatrics | 2080P0006X | E-3278 (AR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.