Katherine Jillson, NP | |
2709 N Mayview Rd, Raleigh, NC 27607-4140 | |
(612) 237-6212 | |
Not Available |
Full Name | Katherine Jillson |
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Gender | Female |
Speciality | Nurse Practitioner |
Location | 2709 N Mayview Rd, Raleigh, North Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1255629416 | NPI | - | NPPES |
H400210067 | Other | MN | MEDICARE PTAN |
Entity Name | Gillette Childrens Specialty Healthcare |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1225119175 PECOS PAC ID: 0547169211 Enrollment ID: O20040503000485 |
Mailing Address | Practice Location Address |
---|---|
Katherine Jillson, NP 2709 N Mayview Rd, Raleigh, NC 27607-4140 Ph: (612) 237-6212 | Katherine Jillson, NP 2709 N Mayview Rd, Raleigh, NC 27607-4140 Ph: (612) 237-6212 |
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