DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: JILLIAN MEITRODT PRENTIS PA-C

MEDICARE:   JILLIAN MEITRODT PRENTIS  PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician Assistant

General Provider Information

NPI Number : 1174303614
Entity Type Code : Individual
Provider Name (Legal Business Name) : JILLIAN MEITRODT PRENTIS PA-C
Provider Business Mailing Address
First Line : 300 BETHESDA DR
Second Line :
City : GREENVILLE
State : NC
Zip : 27834-7218
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 300 BETHESDA DR
Second Line :
City : GREENVILLE
State : NC
Zip : 27834-7218
Country : US
Telephone Number : 910-619-4642
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/03/2023
Last Update Date : 07/17/2024

Similar Medicare Providers

1750353074 — DR. STEVEN H PREVATTE
Practice Location Address:
300 BETHESDA DR
GREENVILLE, NC
27834-7218
Practice Phone: 252-752-7141
Practice Fax: 252-752-0223
1801868146 — DR. ERNEST O SUTTON III
Practice Location Address:
300 BETHESDA DR
GREENVILLE, NC
27834-7218
Practice Phone: 252-752-7141
Practice Fax: 252-752-0223
1588636518 — DR. REBECCA S COKER
Practice Location Address:
300 BETHESDA DR
GREENVILLE, NC
27834-7218
Practice Phone: 252-752-7141
Practice Fax: 252-752-0223
1376515304 — JOHN M OGLE JR.
Practice Location Address:
300 BETHESDA DR
GREENVILLE, NC
27834-7218
Practice Phone: 252-752-7141
Practice Fax: 252-752-0223
1679542971 — GREENVILLE PEDIATRIC SERVICES, INC
Practice Location Address:
300 BETHESDA DR
GREENVILLE, NC
27834-7218
Practice Phone: 252-752-7141
Practice Fax: 252-752-0223
1588603591 — MRS. TIFFANY SHEARN JOHNSON PA
Practice Location Address:
300 BETHESDA DR
GREENVILLE, NC
27834-7218
Practice Phone: 252-752-7141
Practice Fax:
1356440028 — DR. THOMAS EDWARD THIELEN MD
Practice Location Address:
300 BETHESDA DR
GREENVILLE, NC
27834-7218
Practice Phone: 252-752-7141
Practice Fax: 252-752-0223

Directions to “ JILLIAN MEITRODT PRENTIS PA-C” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.