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Contact Information

KATHERINE JILLSON, NP
2709 N MAYVIEW RD
RALEIGH, NC27607-4140
 Phone: 612-237-6212
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Pediatrics

163WP0200X
 

Registered Nurse

163W00000X
Indicates primary specialty

NPI Profile & details for KATHERINE JILLSON · (Female)

NPI # 1255629416
Status Active
Credentials NP (Nurse Practitioner)
Entity Individual
Enumeration date 07/21/2011
Last updated 02/07/2024 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • MN License # 169919-3
  • MN License # 271
  • NC License # 361768
  • NC License # JILL-BUGG2
  • MN Other H400210067 MEDICARE PTAN
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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