Hawk, Jillisa D

Hawk, Jillisa D is an individual health care provider with primary practice located at 305 Estill St , Berea KY 40403-1742. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Hawk, Jillisa D can be contacted via phone (859) 986-9521.

Contact Information

Primary practice address
305 Estill St Berea KY 40403-1742
Phone: (859) 986-9521
Fax: (859) 986-7369
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 5652P Kentucky

Profile Details

NPI number 1053567552
LBN Legal business name Hawk, Jillisa D
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 15th, 2008
Last updated Aug 15th, 2008 - about 18 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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