Hardy, Jill M

Hardy, Jill M is an individual health care provider with primary practice located at 640 Jackson St , Saint Paul MN 55101-2502. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Hardy, Jill M can be contacted via phone (651) 254-3456.

Contact Information

Primary practice address
640 Jackson St Saint Paul MN 55101-2502
Phone: (651) 254-3456
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X AP60466546 Washington

Profile Details

NPI number 1730152331
LBN Legal business name Hardy, Jill M
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 13th, 2006
Last updated Sep 4th, 2019 - about 5 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730152331 NPPES
Washington MEDICAID 2037758

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