Provider Demographics
NPI:1154506392
Name:TORRES, JILL DENISE (CRNA)
Entity type:Individual
Prefix:
First Name:JILL
Middle Name:DENISE
Last Name:TORRES
Suffix:
Gender:
Credentials:CRNA
Other - Prefix:
Other - First Name:JILL
Other - Middle Name:DENISE
Other - Last Name:MCMILLON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CRNA
Mailing Address - Street 1:1330 1ST AVE APT 1231
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10021-4797
Mailing Address - Country:US
Mailing Address - Phone:614-352-3414
Mailing Address - Fax:
Practice Address - Street 1:41 E POST RD
Practice Address - Street 2:
Practice Address - City:WHITE PLAINS
Practice Address - State:NY
Practice Address - Zip Code:10601-4607
Practice Address - Country:US
Practice Address - Phone:914-681-0600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-01-07
Last Update Date:2025-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT4726367500000X
NY528256367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered