Faccia, Jill E
Faccia, Jill E is an individual health care provider with primary practice located at 700 Ne 87Th Ave , Vancouver WA 98664. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Faccia, Jill E can be contacted via phone (360) 882-2778.Contact Information
Primary practice address
700 Ne 87Th Ave
Vancouver WA 98664
Phone: (360) 882-2778
Fax: (360) 604-1771
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | AP60755776 | Washington |
Profile Details
| NPI number | 1174952139 |
|---|---|
| LBN Legal business name | Faccia, Jill E |
| Credentials | AGACNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 10th, 2013 |
| Last updated | Jul 21st, 2022 - about 2 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 | 1174952139 | NPPES |
| Washington | Other | AP60755776 | STATE LICENSE |
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