Dawson, Jill K
Dawson, Jill K is an individual health care provider with primary practice located at 3520 E Louise Dr , Meridian ID 83642-6304. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Dawson, Jill K can be contacted via phone (208) 888-0909.Contact Information
Primary practice address
3520 E Louise Dr
Meridian ID 83642-6304
Phone: (208) 888-0909
Fax: (208) 888-5825
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 16506A | Idaho |
Profile Details
| NPI number | 1801908140 |
|---|---|
| LBN Legal business name | Dawson, Jill K |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 31st, 2006 |
| Last updated | May 13th, 2021 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1801908140 | NPPES |
| Idaho | Other | NPYY6 | BLUE CROSS OF IDAHO |
| Idaho | Other | 000010164251 | BLUE CROSS OF IDAHO |
| Idaho | MEDICAID | 807541000 | BLUE CROSS OF IDAHO |
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