Champion, Jillian A

Champion, Jillian A is an individual health care provider with primary practice located at 4423 Bardstown Rd , Louisville KY 40218-3235. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Critical Care Medicine, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Champion, Jillian A can be contacted via phone (502) 749-7909.

Contact Information

Primary practice address
4423 Bardstown Rd Louisville KY 40218-3235
Phone: (502) 749-7909
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Critical Care Medicine 163WC0200X 1141427 Kentucky
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 3017762 Kentucky

Profile Details

NPI number 1871092601
LBN Legal business name Champion, Jillian A
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 7th, 2018
Last updated Jun 14th, 2022 - about 4 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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