Individual
MS. JILL K TYLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN APN-C
Contact information
Practice address
1203 N HIGH ST, UNIT B, MILLVILLE, NJ 08332-2530
(856) 293-7466
(856) 293-7472
Mailing address
1203 N HIGH ST, UNIT B, MILLVILLE, NJ 08332-2530
(856) 293-7466
(856) 293-7472
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
26NJ00020100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11661195
CAQH
NJ
Enumeration date
02/13/2006
Last updated
07/09/2007
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