Muse, Jill A

Muse, Jill A is an individual health care provider with primary practice located at 325 Meeting House Ln Bldg #2, Southampton NY 11968-5087. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Muse, Jill A can be contacted via phone (631) 283-2100.

Contact Information

Primary practice address
325 Meeting House Ln Bldg #2 Southampton NY 11968-5087
Phone: (631) 283-2100
Fax: (631) 283-5731
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X F3023671 New York

Profile Details

NPI number 1508821240
LBN Legal business name Muse, Jill A
Credentials ANP CDE
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 18th, 2006
Last updated Jun 30th, 2011 - about 15 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 1508821240 NPPES
New York MEDICAID 01956638

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