Herrington, Jillian Elyse

Herrington, Jillian Elyse is an individual health care provider with primary practice located at 7B Johnson Rd , Latham NY 12110-3003. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Herrington, Jillian Elyse can be contacted via phone (518) 782-7733.

Contact Information

Primary practice address
7B Johnson Rd Latham NY 12110-3003
Phone: (518) 782-7733
Fax: (518) 782-0800
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 382665 New York

Profile Details

NPI number 1922451863
LBN Legal business name Herrington, Jillian Elyse
Credentials Pediatric Nurse Practitioner (PNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 15th, 2016
Last updated Jan 25th, 2018 - about 7 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 1922451863 NPPES
New York MEDICAID 04538309
New York Other 161027000049

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