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:
Health care specialties
Specialty | Code | License # | 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 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1891408944 | NPPES |
Indiana | Other | IN2570114 | MEDICARE |
Indiana | MEDICAID | 300071829 | MEDICARE |
Indiana | MEDICAID | 7100890880 | MEDICARE |
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