Lillie, Jessica Marie

Lillie, Jessica Marie is an individual health care provider with primary practice located at 1265 W American Dr Ste 100 , Neenah WI 54956. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Lillie, Jessica Marie can be contacted via phone (920) 722-7747.

Contact Information

Primary practice address
1265 W American Dr Ste 100 Neenah WI 54956
Phone: (920) 722-7747
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 2472-033 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 2472-033 Wisconsin

Profile Details

NPI number 1932100096
LBN Legal business name Lillie, Jessica Marie
Credentials A.P.N.P
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2005
Last updated Aug 2nd, 2023 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1932100096 NPPES
Wisconsin MEDICAID 1932100096

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