Eaddy, Jillian O.
Eaddy, Jillian O. is an individual health care provider with primary practice located at 111 Doctor Cir , Columbia SC 29203-6502. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Primary Care, which is considered as her primary health care specialty. Eaddy, Jillian O. can be contacted via phone (800) 491-0909.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Primary Care | 363LP2300X | 19044 | South Carolina |
Profile Details
| NPI number | 1417354473 |
|---|---|
| LBN Legal business name | Eaddy, Jillian O. |
| Credentials | Advanced Practice Registered Nurse (APRN) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 19th, 2014 |
| Last updated | Nov 2nd, 2022 - 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 | 1417354473 | NPPES |
| South Carolina | MEDICAID | NP4120 |
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