Defibaugh, Jill T

Defibaugh, Jill T is an individual health care provider with primary practice located at 2913 Valley Ave Suite 200, Winchester VA 22601-2676. 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. Defibaugh, Jill T can be contacted via phone (540) 678-0792.

Contact Information

Primary practice address
2913 Valley Ave Suite 200 Winchester VA 22601-2676
Phone: (540) 678-0792
Fax: (540) 678-0795
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 0024166690 Virginia

Profile Details

NPI number 1225018914
LBN Legal business name Defibaugh, Jill T
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 19th, 2006
Last updated Jul 29th, 2010 - about 14 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1225018914 NPPES
Virginia MEDICAID 010211417
Virginia Other 289215
Virginia MEDICAID 3810003821
Virginia Other 001788730

Popular Providers