Provider Demographics
NPI:1508527474
Name:POLLMANN, JILL
Entity Type:Individual
Prefix:
First Name:JILL
Middle Name:
Last Name:POLLMANN
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 1:318 N HEATHER DR
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:OH
Mailing Address - Zip Code:43055-9401
Mailing Address - Country:US
Mailing Address - Phone:740-973-0260
Mailing Address - Fax:
Practice Address - Street 1:318 N HEATHER DR
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:OH
Practice Address - Zip Code:43055-9401
Practice Address - Country:US
Practice Address - Phone:740-973-0260
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-04
Last Update Date:2022-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker