Jillson, Katherine
Jillson, Katherine is an individual health care provider with primary practice located at 2709 N Mayview Rd , Raleigh NC 27607-4140. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Nursing Service Providers / Registered Nurse. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Jillson, Katherine can be contacted via phone (612) 237-6212.Contact Information
Primary practice address
2709 N Mayview Rd
Raleigh NC 27607-4140
Phone: (612) 237-6212
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Nursing Service Providers / Pediatrics | 163WP0200X | 169919-3 | Minnesota |
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | JILL-BUGG2 | North Carolina |
Nursing Service Providers / Registered Nurse | 163W00000X | 361768 | North Carolina |
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 271 | Minnesota |
Profile Details
NPI number | 1255629416 |
---|---|
LBN Legal business name | Jillson, Katherine |
Credentials | Nurse Practitioner (NP) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 21st, 2011 |
Last updated | Feb 7th, 2024 - about last year |
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 | 1255629416 | NPPES |
Minnesota | Other | H400210067 | MEDICARE PTAN |
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