Individual
JILL C JARVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
200 E CHESTNUT ST STE 303, LOUISVILLE, KY 40202-1831
(502) 629-5552
(502) 629-3132
Mailing address
PO BOX 950202, LOUISVILLE, KY 40295-0202
(502) 588-9490
(502) 272-5116
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA864
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000601231
ANTHEM- NORTON INPATIENT SPECIALISTS
KY
01
—
000023036K
HUMANA- NORTON INPATIENT SPECIALISTS
KY
01
—
00533095
MEDICARE- NORTON INPATIENT SPECIALISTS
KY
01
—
3706976000
PASSPORT ADVANTAGE- NORTON INPATIENT SPECIALISTS
KY
01
—
50023389
PASSPORT- NORTON INPATIENT SPECIALISTS
KY
05
—
7100089510
—
KY
Enumeration date
10/21/2008
Last updated
02/11/2015
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