Individual
MRS. JILLIAN A CHAMPION
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4423 BARDSTOWN RD, LOUISVILLE, KY 40218-3235
(502) 749-7909
Mailing address
PO BOX 909, LOUISVILLE, KY 40201-0909
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
1141427
KY
363LF0000X
Family Nurse Practitioner
Primary
3017762
KY
Other
Enumeration date
02/07/2018
Last updated
06/14/2022
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