Provider Demographics
NPI:1992082606
Name:KARNOLT, JILL LYNN (RPH)
Entity type:Individual
Prefix:MRS
First Name:JILL
Middle Name:LYNN
Last Name:KARNOLT
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11300 VIA MARI CAE CT
Mailing Address - Street 2:
Mailing Address - City:CLERMONT
Mailing Address - State:FL
Mailing Address - Zip Code:34711-6333
Mailing Address - Country:US
Mailing Address - Phone:352-394-0408
Mailing Address - Fax:
Practice Address - Street 1:701 E SR 50
Practice Address - Street 2:
Practice Address - City:CLERMONT
Practice Address - State:FL
Practice Address - Zip Code:34711-3165
Practice Address - Country:US
Practice Address - Phone:352-241-9109
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-09
Last Update Date:2011-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS28541183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist