Provider Demographics
NPI:1225479389
Name:VAN ORSOUW, JILLIAN SUZANNE (RN, NP)
Entity Type:Individual
Prefix:MRS
First Name:JILLIAN
Middle Name:SUZANNE
Last Name:VAN ORSOUW
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Gender:F
Credentials:RN, NP
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Mailing Address - Street 1:PO BOX 440100
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37244-0100
Mailing Address - Country:US
Mailing Address - Phone:615-329-0570
Mailing Address - Fax:718-299-6797
Practice Address - Street 1:1840 MEDICAL CENTER PKWY STE 300
Practice Address - Street 2:
Practice Address - City:MURFREESBORO
Practice Address - State:TN
Practice Address - Zip Code:37129-3237
Practice Address - Country:US
Practice Address - Phone:615-848-0488
Practice Address - Fax:615-904-9061
Is Sole Proprietor?:No
Enumeration Date:2013-07-17
Last Update Date:2017-10-20
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY643641-1163W00000X
NYF338572-1363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse