Jillson, Katherine

Jillson, Katherine is an individual health care provider with primary practice located at 2709 N Mayview Rd , Raleigh NC 27607-4140. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Nursing Service Providers / Registered Nurse. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Jillson, Katherine can be contacted via phone (612) 237-6212.

Contact Information

Primary practice address
2709 N Mayview Rd Raleigh NC 27607-4140
Phone: (612) 237-6212
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Pediatrics 163WP0200X 169919-3 Minnesota
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X JILL-BUGG2 North Carolina
Nursing Service Providers / Registered Nurse 163W00000X 361768 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 271 Minnesota

Profile Details

NPI number 1255629416
LBN Legal business name Jillson, Katherine
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 21st, 2011
Last updated Feb 7th, 2024 - about 2 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 1255629416 NPPES
Minnesota Other H400210067 MEDICARE PTAN

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