Provider Demographics
NPI:1558709949
Name:CHANDLER-ARTHUR, JILLIAN (NP-C)
Entity Type:Individual
Prefix:MRS
First Name:JILLIAN
Middle Name:
Last Name:CHANDLER-ARTHUR
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3698 FIRETHORN DR
Mailing Address - Street 2:
Mailing Address - City:REMINDERVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:44202-5200
Mailing Address - Country:US
Mailing Address - Phone:330-954-8113
Mailing Address - Fax:
Practice Address - Street 1:3698 FIRETHORN DR
Practice Address - Street 2:
Practice Address - City:REMINDERVILLE
Practice Address - State:OH
Practice Address - Zip Code:44202-5200
Practice Address - Country:US
Practice Address - Phone:330-954-8113
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-07
Last Update Date:2016-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH345188163W00000X, 163WG0600X
OHCOA 15738-NP363LA2200X, 363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WG0600XNursing Service ProvidersRegistered NurseGerontology
No163W00000XNursing Service ProvidersRegistered Nurse
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology