Provider Demographics
NPI:1568997815
Name:MCCARTNEY, JILL (CRNP)
Entity Type:Individual
Prefix:
First Name:JILL
Middle Name:
Last Name:MCCARTNEY
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:JILL
Other - Middle Name:S
Other - Last Name:JAZWINSKI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1299 HALL AVE
Mailing Address - Street 2:
Mailing Address - City:SHARON
Mailing Address - State:PA
Mailing Address - Zip Code:16146-3531
Mailing Address - Country:US
Mailing Address - Phone:724-866-4165
Mailing Address - Fax:
Practice Address - Street 1:1299 HALL AVE
Practice Address - Street 2:
Practice Address - City:SHARON
Practice Address - State:PA
Practice Address - Zip Code:16146-3531
Practice Address - Country:US
Practice Address - Phone:724-866-4165
Practice Address - Fax:979-230-1029
Is Sole Proprietor?:No
Enumeration Date:2017-04-25
Last Update Date:2023-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ID59353363LP0808X
PASP017334363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1032983260001Medicaid