Short, Jill Delana

Short, Jill Delana is an sole proprietor health care provider with primary practice located at 412 N Lock Ave , Louisa KY 41230-1115. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Short, Jill Delana can be contacted via phone (606) 638-4595.

Contact Information

Primary practice address
412 N Lock Ave Louisa KY 41230-1115
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA442 Kentucky

Profile Details

NPI number 1619143146
LBN Legal business name Short, Jill Delana
Credentials PHYSICIAN ASSISTANT
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 5th, 2008
Last updated Apr 23rd, 2010 - about 16 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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