Holbrook, Jill Nadine

Holbrook, Jill Nadine is an individual health care provider with primary practice located at 6620 E Carondelet Dr , Tucson AZ 85710-2119. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Holbrook, Jill Nadine can be contacted via phone (520) 296-3240.

Contact Information

Primary practice address
6620 E Carondelet Dr Tucson AZ 85710-2119
Fax: (520) 296-3249
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN028554 Arizona

Profile Details

NPI number 1487634598
LBN Legal business name Holbrook, Jill Nadine
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 17th, 2006
Last updated Jul 8th, 2007 - about 14 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 1487634598 NPPES
Arizona Other 504854 ANCCCS

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