Jill Yvonne Dudley in Sonora - Physician Assistant

Jill Yvonne Dudley - NPI 1669447819

Jill Yvonne Dudley is a Physician Assistant in Sonora, California. Jill Yvonne Dudley practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Jill Yvonne Dudley is 1669447819. The last update date is 2013-10-08.

Jill Yvonne Dudley's current location address is 23198 Hardscrabble Ct, Sonora, California. You can contact this provider via phone number 2095869200 and fax number 2095869300. The mailing address for Jill Yvonne Dudley is 23198 Hardscrabble Ct, Sonora, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Jill Yvonne Dudley
Address 23198 Hardscrabble Ct, Sonora, California
Phone Number 2095869200
Fax Number 2095869300
Sole Proprietor N
Credentials PA-C

NPI Number Detail

NPI Number 1669447819
Provider Enumeration Date 2006-02-21
Last Updated Date 2013-10-08

Provider Mailing Address Detail

Address 23198 Hardscrabble Ct
City Sonora
State California (CA)
Post Code 953708535
Phone Number 2095869200
Fax Number 2095869300

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No PA12635
Definition:
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
OPA126350 CA --

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FAQs about Jill Yvonne Dudley

What is the unique 10-digit identification code issued to Jill Yvonne Dudley by the Centers for Medicare & Medicaid Services?

The Jill Yvonne Dudley has been assigned the NPI (National Provider Identifier) 1669447819 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please share the complete physical address where Jill Yvonne Dudley is geographically located?

The Jill Yvonne Dudley is physically situated at the following location: 23198 Hardscrabble Ct, Sonora, CA, 953708535.

What is Jill Yvonne Dudley's area of expertise and its corresponding taxonomy classification?

The Jill Yvonne Dudley's field of specialization is Physician Assistant, and it falls under the taxonomy code 363A00000X, which categorizes healthcare providers based on their areas of practice.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1669447819 to Jill Yvonne Dudley?

The Centers for Medicare & Medicaid Services originally issued the 1669447819 to Jill Yvonne Dudley on 2006-02-21.

When was the information regarding Jill Yvonne Dudley, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Jill Yvonne Dudley, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2013-10-08.

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