| Provider / Organization | NPI | Date Certified |
|---|---|---|
| JILL LYNNETTE MCBRIDE | 1144553413 | 2024-07-05 |
Jill L Mcbride [F] graduated in 1997 and primarily specializes in Physician Assistant.
Jill Lynnette Mcbride is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1144553413. Registration indicates Jill Lynnette Mcbride is a provider of access to adult/geriatric primary care providers services with a specialization in Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant Access to Pediatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant) (Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant) (Physician Assistant: Medical, ) (All Other Specialties & Provider Types, ) (Physician Assistant Medical, Physician Assistants & Advanced Practice Nursing Providers) (Physician Assistant, )
| PECOS ID | 8325284177 |
| Registration | PART-B:Y DME:Y HHA:Y PMD:Y |
| Entity Type | Individual |
| Provider Name | Ms. Jill Lynnette Mcbride PA |
| Practice Office Address | 1701 E THOMAS RD PHOENIX, AZ US |
| Practice Office Telephone | 6028454445 |
| Mailing Address | 1701 E THOMAS RD PHOENIX, AZ 850167646 US |
| Business Telephone | 6028454445 |
| Code | Practice | License No State |
|---|---|---|
| 363AM0700X PRIMARY | Access to Adult/Geriatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Physician AssistantAccess to Pediatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Physician Assistant Physician Assistants & Advanced Practice Nursing Providers Physician Assistant Physician Assistant: Medical All Other Specialties & Provider Types Physician Assistant Medical Physician Assistants & Advanced Practice Nursing Providers Physician Assistant | 9107131
FL |