Individual
JILL MARIE-BURTON KNOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1540 LAKE LANSING RD, SUITE G02, LANSING, MI 48912-3756
(517) 913-6650
(517) 913-6677
Mailing address
1540 LAKE LANSING RD, SUITE G02, LANSING, MI 48912-3756
(517) 913-6650
(517) 913-6677
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601005952
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0653304060
BLUE CROSS BLUE SHIELD OF MICHIGAN
MI
01
—
1068231
MCLAREN HEALTH ADVANTAGE
MI
01
—
9570642
AETNA
MI
Enumeration date
01/11/2011
Last updated
07/21/2014
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