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Contact Information

JILLIAN A CHAMPION, RN
4423 BARDSTOWN RD
LOUISVILLE, KY40218-3235
 Phone: 502-749-7909
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
 

Critical Care Medicine

163WC0200X
Indicates primary specialty

NPI Profile & details for JILLIAN A CHAMPION · (Female)

NPI Number 1871092601
Status Active
Credentials RN (Registered Nurse)
Entity Individual
Enumeration date 02/07/2018
Last updated 06/14/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • KY License # 1141427
  • KY License # 3017762
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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