Jillany Creasy, FNP | |
25240 Hancock Ave Ste 410, Murrieta, CA 92562-5997 | |
(951) 405-3755 | |
Not Available |
Full Name | Jillany Creasy |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Location | 25240 Hancock Ave Ste 410, Murrieta, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1669177838 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 95025050 (California) | Primary |
Entity Name | Inland Empire Tms |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437720802 PECOS PAC ID: 6800293747 Enrollment ID: O20210921000509 |
Mailing Address | Practice Location Address |
---|---|
Jillany Creasy, FNP 25240 Hancock Ave Ste 410, Murrieta, CA 92562-5997 Ph: (909) 773-8500 | Jillany Creasy, FNP 25240 Hancock Ave Ste 410, Murrieta, CA 92562-5997 Ph: (951) 405-3755 |
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