Beckworth, Jill Katrice

Beckworth, Jill Katrice is an individual health care provider with primary practice located at 4750 Waters Ave Suite 202, Savannah GA 31404-6200. 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 / Adult Health is her primary health care specialty. Beckworth, Jill Katrice can be contacted via phone (912) 350-7412.

Contact Information

Primary practice address
4750 Waters Ave Suite 202 Savannah GA 31404-6200
Phone: (912) 350-7412
Fax: (912) 350-7297
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X RN132814 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X RN132814 Georgia

Profile Details

NPI number 1538168109
LBN Legal business name Beckworth, Jill Katrice
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2005
Last updated Jul 25th, 2011 - about 13 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 1538168109 NPPES
Georgia MEDICAID 000958075A
Georgia Other 567244
Georgia Other P00903092
Georgia MEDICAID 000958075C
Georgia MEDICAID NP0872
Georgia Other 500025280
Georgia Other 01376746

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