Individual
JILLIAN LYLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
621 S MAIN ST, DU BOIS, PA 15801-1413
(814) 299-7520
Mailing address
PO BOX 55, LIMESTONE, PA 16234-0055
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP028994
PA
Other
Enumeration date
01/24/2024
Last updated
01/24/2024
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