Individual
JILL VAN THOLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9495 KEILMAN ST STE 6, SAINT JOHN, IN 46373-9295
(219) 440-1232
(219) 285-5687
Mailing address
9495 KEILMAN ST STE 6, SAINT JOHN, IN 46373-9295
(219) 440-1232
(219) 285-5687
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71005137A
IN
Other
Enumeration date
09/24/2014
Last updated
03/19/2025
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