Johnstone, Jill M.

Johnstone, Jill M. is an individual health care provider with primary practice located at 4115 Medical Center Dr Suite 115, Fayetteville NY 13066-6636. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Johnstone, Jill M. can be contacted via phone (315) 329-7600.

Contact Information

Primary practice address
4115 Medical Center Dr Suite 115 Fayetteville NY 13066-6636
Phone: (315) 329-7600
Fax: (315) 329-7608
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 007166 New York

Profile Details

NPI number 1144288630
LBN Legal business name Johnstone, Jill M.
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2006
Last updated Sep 11th, 2014 - about 11 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 1144288630 NPPES
New York MEDICAID 02565442

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