Provider Demographics
NPI:1215996798
Name:EGGERSKNIGHT, JILL TRICIA (PA-C)
Entity type:Individual
Prefix:MS
First Name:JILL
Middle Name:TRICIA
Last Name:EGGERSKNIGHT
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:ORTHOPEDIC SURGERY SERVICE
Mailing Address - Street 2:ATTN: MCHJ-SOP
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98431-0001
Mailing Address - Country:US
Mailing Address - Phone:253-968-2712
Mailing Address - Fax:253-968-1586
Practice Address - Street 1:ORTHOPEDIC SURGERY SERVICE
Practice Address - Street 2:ATTN: MCHJ-SOP
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98431-0001
Practice Address - Country:US
Practice Address - Phone:253-968-2712
Practice Address - Fax:253-968-1586
Is Sole Proprietor?:No
Enumeration Date:2006-03-22
Last Update Date:2017-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPA0001577363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical