Longway, Jillian C S

Longway, Jillian C S is an individual health care provider with primary practice located at 11102 Sunrise Blvd E Ste 103 , Puyallup WA 98374. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics is her primary health care specialty. Longway, Jillian C S can be contacted via phone (253) 848-8797.

Contact Information

Primary practice address
11102 Sunrise Blvd E Ste 103 Puyallup WA 98374
Phone: (253) 848-8797
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN60840002 Washington
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 19231 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X AP60849416 Washington
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X SP017177 Pennsylvania

Profile Details

NPI number 1669875993
LBN Legal business name Longway, Jillian C S
Credentials Certified Pediatric Nurse Practitioner (CPNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 1st, 2014
Last updated Jul 15th, 2018 - about 6 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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