Individual provider · Type 1 NPI
Jill Van Tholen
Nurse Practitioner · St. John, IN
Practice location
9495 Keilman St Ste 6
St. John, IN 46373-9295
Fax (219) 285-5687
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 71005137A (IN) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1477955201
Jill Van Tholen's National Provider Identifier is 1477955201, issued on Sep 24, 2014. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in St. John, IN. The record was last updated on Mar 19, 2025.