Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JILLIAN MARIE TRAVIS, RDH
Active Sole ProprietorDental Hygienist · SHENANDOAH, IA
Registration Details
- NPI Number
- 1821392457
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 21, 2010 (15.34221039065 yrs)
- Last Updated
- May 20, 2019
- Licenses
-
5587 (IA)2062 (IA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1213 W NISHNA RDSHENANDOAH, IA, 516012115Browse IA providers · Browse ZIP 51601
- Phone
- 7122462180
- Fax
- 7122461683
- Primary Specialty
-
Dental Hygienist
124Q00000X
- Additional Specialty
- Dental Hygienist
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.