Provider Demographics
NPI:1194246009
Name:REESE, JILL M (APRN-CNS)
Entity type:Individual
Prefix:
First Name:JILL
Middle Name:M
Last Name:REESE
Suffix:
Gender:F
Credentials:APRN-CNS
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:1 PRESTIGE PL STE 550
Mailing Address - Street 2:
Mailing Address - City:MIAMISBURG
Mailing Address - State:OH
Mailing Address - Zip Code:45342-6115
Mailing Address - Country:US
Mailing Address - Phone:937-762-1310
Mailing Address - Fax:937-490-2266
Practice Address - Street 1:3535 PENTAGON BLVD # 400
Practice Address - Street 2:
Practice Address - City:BEAVERCREEK
Practice Address - State:OH
Practice Address - Zip Code:45431-1705
Practice Address - Country:US
Practice Address - Phone:937-490-2264
Practice Address - Fax:937-490-2266
Is Sole Proprietor?:No
Enumeration Date:2017-06-30
Last Update Date:2024-09-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OHCNS019347364SX0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SX0200XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistOncology