Provider Demographics
NPI:1154327484
Name:ALLIMAN, JILL B (CNM)
Entity Type:Individual
Prefix:MRS
First Name:JILL
Middle Name:B
Last Name:ALLIMAN
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:MRS
Other - First Name:JILL
Other - Middle Name:B
Other - Last Name:DONEGAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CNM
Mailing Address - Street 1:PO BOX 115
Mailing Address - Street 2:
Mailing Address - City:MADISONVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37354-0115
Mailing Address - Country:US
Mailing Address - Phone:423-442-6624
Mailing Address - Fax:423-442-5746
Practice Address - Street 1:3459 NEW HIGHWAY 68
Practice Address - Street 2:
Practice Address - City:MADISONVILLE
Practice Address - State:TN
Practice Address - Zip Code:37354-5148
Practice Address - Country:US
Practice Address - Phone:423-442-6624
Practice Address - Fax:423-442-5746
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-06-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNAPN0000006023367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3038109OtherBCBS/BC/TCS
TNTN0103OtherJOHNDEERE TNCARE
TN3660250Medicare ID - Type Unspecified
TNS15837Medicare UPIN