Individual
JILLIAN R MINOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
1526 LOMBARD ST, PHILADELPHIA, PA 19146-1625
(215) 546-5960
Mailing address
1526 LOMBARD ST, PHILADELPHIA, PA 19146-1625
(215) 546-5960
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
SP023451
PA
Other
Enumeration date
10/05/2021
Last updated
04/09/2023
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