Ham, Jill Ann

Ham, Jill Ann is an individual health care provider with primary practice located at 19465 Deerfield Ave Ste 101 , Leesburg VA 20176-1702. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Ham, Jill Ann can be contacted via phone (703) 726-9720.

Contact Information

Primary practice address
19465 Deerfield Ave Ste 101 Leesburg VA 20176-1702
Fax: (703) 726-9721
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 71002526A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 0024173256 Virginia

Profile Details

NPI number 1164611752
LBN Legal business name Ham, Jill Ann
Credentials NP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 18th, 2007
Last updated Mar 26th, 2024 - about 8 months 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 1164611752 NPPES
Other P00833898 RAILROAD MEDICARE
MEDICAID 200888840 RAILROAD MEDICARE

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