Provider Demographics
NPI:1457045403
Name:ABINADER, JILLIAN JEAN (MSN, RN, CNL)
Entity type:Individual
Prefix:
First Name:JILLIAN
Middle Name:JEAN
Last Name:ABINADER
Suffix:
Gender:F
Credentials:MSN, RN, CNL
Other - Prefix:
Other - First Name:JILLIAN
Other - Middle Name:JEAN
Other - Last Name:MEYER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:706 N CLAREMONT ST
Mailing Address - Street 2:
Mailing Address - City:SAN MATEO
Mailing Address - State:CA
Mailing Address - Zip Code:94401-1602
Mailing Address - Country:US
Mailing Address - Phone:650-921-8762
Mailing Address - Fax:
Practice Address - Street 1:706 N CLAREMONT ST
Practice Address - Street 2:
Practice Address - City:SAN MATEO
Practice Address - State:CA
Practice Address - Zip Code:94401-1602
Practice Address - Country:US
Practice Address - Phone:650-921-8762
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-05
Last Update Date:2023-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95316064163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse