Crawford, Jill Ellen

Crawford, Jill Ellen is an individual health care provider with primary practice located at 202 Bevins Ln , Georgetown KY 40324-6178. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Crawford, Jill Ellen can be contacted via phone (859) 323-9333.

Contact Information

Primary practice address
202 Bevins Ln Georgetown KY 40324-6178
Phone: (859) 323-9333
Fax: (502) 570-5322
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 3002099 Kentucky
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 3002099 Kentucky

Profile Details

NPI number 1134127418
LBN Legal business name Crawford, Jill Ellen
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2005
Last updated Jan 20th, 2015 - about 9 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 1134127418 NPPES
Kentucky MEDICAID 78020997
Kentucky Other 000000069024

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