White, Jillian N.

White, Jillian N. is an individual health care provider with primary practice located at 1400 Hospital Dr , Mt Pleasant SC 29464-3255. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. White, Jillian N. can be contacted via phone (843) 884-1341.

Contact Information

Primary practice address
1400 Hospital Dr Mt Pleasant SC 29464-3255
Phone: (843) 884-1341
Fax: (843) 884-1345
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 20322 South Carolina

Profile Details

NPI number 1902351448
LBN Legal business name White, Jillian N.
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 24th, 2016
Last updated Aug 19th, 2021 - about 3 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902351448 NPPES
South Carolina MEDICAID NP4221

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