Smith, Jillian Faith

Smith, Jillian Faith is an individual health care provider with primary practice located at 301 Gordon Gutmann Blvd Ste 101 , Jeffersonville IN 47130-3765. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Smith, Jillian Faith can be contacted via phone (812) 282-4844.

Contact Information

Primary practice address
301 Gordon Gutmann Blvd Ste 101 Jeffersonville IN 47130-3765
Phone: (812) 282-4844
Fax: (812) 282-6248
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 71013433A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology 363LX0001X 71013433A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 71013433A Indiana

Profile Details

NPI number 1891408944
LBN Legal business name Smith, Jillian Faith
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 4th, 2023
Last updated Apr 5th, 2024 - about 7 months 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 1891408944 NPPES
Indiana Other IN2570114 MEDICARE
Indiana MEDICAID 300071829 MEDICARE
Indiana MEDICAID 7100890880 MEDICARE

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