Smith, Jillian R
Smith, Jillian R is an individual health care provider with primary practice located at 45 Reade Pl , Poughkeepsie NY 12601-3947. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Smith, Jillian R can be contacted via phone (845) 431-5629.Contact Information
Primary practice address
45 Reade Pl
Poughkeepsie NY 12601-3947
Phone: (845) 431-5629
Fax: (703) 890-2650
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | 200360008CRNA | Oregon |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | 054519 | Maine |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | 725990 | New York |
Profile Details
| NPI number | 1093752065 |
|---|---|
| LBN Legal business name | Smith, Jillian R |
| Credentials | Certified Registered Nurse Anesthetist (CRNA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 31st, 2006 |
| Last updated | Mar 7th, 2017 - 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 | 1093752065 | NPPES |
| Oregon | MEDICAID | 298058 |
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