Reisman, Jill M.
Reisman, Jill M. is an individual health care provider with primary practice located at 3900 St Francis Way Ste 200 , Lafayette IN 47905-4940. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is her primary health care specialty. Reisman, Jill M. can be contacted via phone (765) 502-4000.Contact Information
Primary practice address
3900 St Francis Way Ste 200
Lafayette IN 47905-4940
Phone: (765) 502-4000
Fax: (765) 402-4709
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 10000734A | Indiana |
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 10000734A | Indiana |
Profile Details
| NPI number | 1881617538 |
|---|---|
| LBN Legal business name | Reisman, Jill M. |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 25th, 2006 |
| Last updated | Jan 8th, 2026 - about 9 months 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1881617538 | NPPES |
| Indiana | MEDICAID | 300008925 |
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