Individual
JILL SINCLAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
3401 N BROAD ST, PHILADELPHIA, PA 19140-5103
(215) 707-3326
Mailing address
2450 W HUNTING PARK AVE, PHILADELPHIA, PA 19129-1302
(215) 707-3326
(215) 728-4314
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA001107L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA001107L
PA LICENSE #
—
Enumeration date
03/31/2008
Last updated
04/23/2018
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