Individual
JILL L ISAACS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
700 S MYRTLE AVE, MONROVIA, CA 91016-8411
(626) 999-9999
Mailing address
700 S MYRTLE AVE APT 229, MONROVIA, CA 91016-8410
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
95010598
CA
363LA2200X
Adult Health Nurse Practitioner
AP4368
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47077295213
—
NE
Enumeration date
09/03/2006
Last updated
03/03/2020
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