Individual
JILLIAN SHULL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
124 HOME DEPOT DR, FRANKLIN, PA 16323-8002
(814) 677-2262
Mailing address
1237 BUFFALO ST FL 1, FRANKLIN, PA 16323-1448
(814) 516-2242
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SPO27382
PA
Other
Enumeration date
03/28/2023
Last updated
03/28/2023
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