Myers, Jill A
Myers, Jill A is an individual health care provider with primary practice located at 4857 State Route 5 , Vernon NY 13476-3530. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Myers, Jill A can be contacted via phone (315) 363-9995.Contact Information
Primary practice address
4857 State Route 5
Vernon NY 13476-3530
Phone: (315) 363-9995
Fax: (315) 363-9686
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | F331588 | New York |
Profile Details
| NPI number | 1215988134 |
|---|---|
| LBN Legal business name | Myers, Jill A |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 15th, 2006 |
| Last updated | May 9th, 2016 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1215988134 | NPPES |
| New York | Other | F331588 | LICENSE |
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