Provider Demographics
NPI:1447756002
Name:OSTROWSKI, JILL
Entity Type:Individual
Prefix:MS
First Name:JILL
Middle Name:
Last Name:OSTROWSKI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9333 TECH CENTER DR STE 100
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95826-2585
Mailing Address - Country:US
Mailing Address - Phone:510-988-3439
Mailing Address - Fax:916-441-9893
Practice Address - Street 1:9333 TECH CENTER DR STE 100
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95826-2585
Practice Address - Country:US
Practice Address - Phone:510-988-3439
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-04-03
Last Update Date:2023-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
No175T00000XOther Service ProvidersPeer Specialist