Augustine, Jill A

Augustine, Jill A is an individual health care provider with primary practice located at 3311 E. Murdock , Wichita KS 67208. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Augustine, Jill A can be contacted via phone (316) 689-9370.

Contact Information

Primary practice address
3311 E. Murdock Wichita KS 67208
Phone: (316) 689-9370
Fax: (316) 689-9363
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 46012 Kansas
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 46012 Kansas

Profile Details

NPI number 1548399751
LBN Legal business name Augustine, Jill A
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 5th, 2007
Last updated Mar 14th, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548399751 NPPES
Other 003719456 MEDICARE

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