Individual
JILL AUSTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
2460 S PARKVIEW LOOP STE 203, YUMA, AZ 85364-5358
(928) 336-2619
Mailing address
2400 S AVENUE A, YUMA, AZ 85364-7127
(928) 344-2000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
2025002596
MO
363A00000X
Physician Assistant
Primary
2987
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
351601
—
AZ
Enumeration date
09/07/2005
Last updated
05/05/2025
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