O'Brien, Jillian Anne

O'Brien, Jillian Anne is an sole proprietor health care provider with primary practice located at 101 Nicholls Road , Stony Brook NY 11794-3957. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. O'Brien, Jillian Anne can be contacted via phone (631) 689-8333.

Contact Information

Primary practice address
101 Nicholls Road Stony Brook NY 11794-3957
Phone: (631) 689-8333
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 015675 New York
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 015675 New York

Profile Details

NPI number 1558626614
LBN Legal business name O'Brien, Jillian Anne
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 5th, 2012
Last updated Nov 30th, 2023 - about 3 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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