Mccarley, Jill D

Mccarley, Jill D is an individual health care provider with primary practice located at Building 52 Lake Drive Va Medical Center, Mountain Home TN 37684-0699. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry is her primary health care specialty. Mccarley, Jill D can be contacted via phone (423) 439-8000.

Contact Information

Primary practice address
Building 52 Lake Drive Va Medical Center Mountain Home TN 37684-0699
Phone: (423) 439-8000
Fax: (423) 439-2200
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X M1231 Texas
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X 43599 Tennessee

Profile Details

NPI number 1417986944
LBN Legal business name Mccarley, Jill D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2006
Last updated Mar 6th, 2013 - about 12 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 1417986944 NPPES
Tennessee MEDICAID 3001464

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