Wang, Jill

Wang, Jill is an individual health care provider with primary practice located at 1770 Cedar St , Rockledge FL 32955-3133. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Wang, Jill can be contacted via phone (321) 890-1500.

Contact Information

Primary practice address
1770 Cedar St Rockledge FL 32955-3133
Phone: (321) 890-1500
Fax: (321) 634-6260
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 9269172 Florida
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X ARNP9269172 Florida
Behavioral Health & Social Service Providers / Mental Health 101YM0800X APRN9269172 Florida

Profile Details

NPI number 1619228871
LBN Legal business name Wang, Jill
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 27th, 2012
Last updated Jun 28th, 2024 - about 6 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 1619228871 NPPES
Florida MEDICAID 100177700

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