Individual
JILL T. PROCTOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
781 WEATHERLY DR APT C, CLARKSVILLE, TN 37043-8954
(931) 444-5040
Mailing address
820 SPRINGER DR, LOMBARD, IL 60148-6413
(815) 744-8554
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
7799
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7799
APN LICENSE
TN
Enumeration date
10/18/2006
Last updated
04/03/2023
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