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
Phone: (907) 248-2482
Fax: (907) 248-0045
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1932260627 | NPPES |
| Alaska | MEDICAID | 1022671 |
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