Individual
JILL TRUESDALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA.0005466
CO
363A00000X
Physician Assistant
PT765
WY
Other
Enumeration date
06/14/2018
Last updated
06/18/2026
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