Green, Jyll K

Green, Jyll K is an sole proprietor health care provider with primary practice located at 2105 E 88Th Avenue , Anchorage AK 99507. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Green, Jyll K can be contacted via phone (907) 248-2482.

Contact Information

Primary practice address
2105 E 88Th Avenue Anchorage AK 99507
Fax: (907) 248-0045
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 859 Alaska

Profile Details

NPI number 1932260627
LBN Legal business name Green, Jyll K
Credentials Adult Nurse Practitioner (ANP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 13th, 2006
Last updated Nov 21st, 2013 - about 9 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 1932260627 NPPES
Alaska MEDICAID 1022671

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