Faton, Jillian Beth

Faton, Jillian Beth is an individual health care provider with primary practice located at 707 S Osage Ave , Bartlesville OK 74003-4943. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Faton, Jillian Beth can be contacted via phone (918) 876-0223.

Contact Information

Primary practice address
707 S Osage Ave Bartlesville OK 74003-4943
Phone: (918) 876-0223
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 89462 Oklahoma

Profile Details

NPI number 1609141787
LBN Legal business name Faton, Jillian Beth
Credentials CPNP, APRN
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 21st, 2012
Last updated Nov 10th, 2020 - 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 1609141787 NPPES
Oklahoma MEDICAID 200436700A

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