Individual
JILLIAN HERNANDEZ SPRAGUE
Active
Individual
JILLIAN HERNANDEZ SPRAGUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPNP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
310313
NC
363L00000X
Nurse Practitioner
LJ-0010479
DE
363LP0200X
Pediatric Nurse Practitioner
Primary
5011666
NC
363LP0200X
Pediatric Nurse Practitioner
LJ-0010479
DE
Other
Enumeration date
12/19/2017
Last updated
10/07/2024
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