IndividualActive
Jamisen Gauntt
NPI 1114807088 · Pediatric Rehabilitation Medicine Physician · Bono, AR
Provider details
- NPI number
- 1114807088
- Entity type
- Individual
- Primary specialty
- Pediatric Rehabilitation Medicine PhysicianAllopathic & Osteopathic Physicians
- Sex
- Female
- Sole proprietor
- No
- License
- 5038 (AR)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
101 Shady Park Ln
Bono, AR 72416-9581
Phone: (870) 586-3368
Approximate (ZIP-level) locationGet directions
Mailing address
101 Shady Park Ln
Bono, AR 72416-9581
Registry dates
- Enumerated
- 2025-09-03
- Last updated
- 2025-09-03
- Certified
- 2025-09-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.