Doctor Name: | MRS. JILL LYNN BUTTOLPH |
NPI Number: | 1063892073 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN |
License Number: | RN.319031 |
Business Practice Address: | 25301 Euclid Ave Fl 2 Euclid, OH - 441172609 |
Business Phone Number: | 2162616263 |
Business Fax Number: | 2162614964 |
Mailing Address: | 25301 Euclid Ave Fl 2, EUCLID |
State: | OH |
Postal Code: | 441172609 |
Phone Number: | 2162616263 |
Fax Number: | 2162614964 |
NPI Enumeration Date: | 06/04/2015 |
NPI Last Update Date: | 06/04/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2100X |
License Number: | RN.319031 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Acute Care |
Taxonomy Definition: |