Jill S Vidrine, PA-C
Physician Assistant in Mansfield, OH. Individual provider (NPI-1).
NPI number1114200565
StatusActive
Last updated in NPPESSep 22, 2011
Details
- NPI
- 1114200565
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Jill S Vidrine
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 22, 2011
- Last updated
- Sep 22, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 50.003323 | OH | Yes |
Practice location
536 S Trimble RdMansfield, OH 44906-3418
Phone 419-756-8899
Mailing address
536 S Trimble RdMansfield, OH 44906-3418
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All 54 Physician Assistant providers in Mansfield · All 3,375 providers in Mansfield
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