Elwood, Jill

Elwood, Jill is an sole proprietor health care provider with primary practice located at 801 Medical Dr Ste A , Lima OH 45804-4030. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Elwood, Jill can be contacted via phone (419) 222-6622.

Contact Information

Primary practice address
801 Medical Dr Ste A Lima OH 45804-4030
Phone: (419) 222-6622
Fax: (419) 224-0015
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 264515 Ohio
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X COA.18792-NP Ohio

Profile Details

NPI number 1104224542
LBN Legal business name Elwood, Jill
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 17th, 2014
Last updated Feb 28th, 2023 - 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 1104224542 NPPES
Ohio MEDICAID 0161156

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