Proctor, Jill T.

Proctor, Jill T. is an sole proprietor health care provider with primary practice located at 781 Weatherly Dr Apt C , Clarksville TN 37043-8954. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Proctor, Jill T. can be contacted via phone (931) 444-5040.

Contact Information

Primary practice address
781 Weatherly Dr Apt C Clarksville TN 37043-8954
Phone: (931) 444-5040
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 7799 Tennessee

Profile Details

NPI number 1639250624
LBN Legal business name Proctor, Jill T.
Credentials Adult Nurse Practitioner (ANP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 18th, 2006
Last updated Apr 3rd, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1639250624 NPPES
Tennessee Other 7799 APN LICENSE

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