Cullinane, Jillian

Cullinane, Jillian is an sole proprietor health care provider with primary practice located at 4800 Belfort Rd , Jacksonville FL 32256-6004. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is her primary health care specialty. Cullinane, Jillian can be contacted via phone (904) 483-5850.

Contact Information

Primary practice address
4800 Belfort Rd Jacksonville FL 32256-6004
Phone: (904) 483-5850
Fax: (904) 483-5860
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 532232-1 New York
Nursing Service Providers / Registered Nurse 163W00000X 26NR14781900 New Jersey
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X APRN11014964 Florida

Profile Details

NPI number 1699019455
LBN Legal business name Cullinane, Jillian
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 19th, 2012
Last updated Nov 22nd, 2021 - about 5 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 1699019455 NPPES
Florida MEDICAID 111966800

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