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Jillian Alexandra Early, NP
Student in an Organized Health Care Education/Training Program in Lagrange, Indiana
NPI 1871226035

Jillian Alexandra Early is a Student in an Organized Health Care Education/Training Program based in Lagrange, IN. Jillian Alexandra Early practices in Lagrange, IN and has the professional credentials of NP. The NPI Number for Jillian Alexandra Early is 1871226035 and holds a License No. 71012801A (Indiana).

The current practice location address for Jillian Alexandra Early is 2500 N Detroit St, Lagrange, IN and can be reached out via phone at 260-463-2133 and via fax at 260-463-3775.

Location: 2500 N Detroit St, Lagrange, IN, 46761-0236
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1871226035
Provider Name
Jillian Alexandra Early
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
2500 N Detroit St, Lagrange, IN, 46761-0236
Phone Number
260-463-2133
Fax Number
260-463-3775
Provider Enumeration Date
07/06/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2500 N Detroit St
City
Lagrange
State
Indiana
Zip
46761-1158
Phone Number
260-463-2133
Fax Number
260-463-3775
person
Provider Business Mailing Address Details
Address
2500 N Detroit St
City
Lagrange
State
Indiana
Zip
46761-1158
Phone Number
260-463-2133
Fax Number
260-463-3775
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
71012801A (Indiana)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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