Basic Information
| Provider Information | |||||||||
| NPI: | 1124468780 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | NOYES | ||||||||
| FirstName: | JILLIAN | ||||||||
| MiddleName: | ELAINE | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 130 SUTTER ST FL 2 | ||||||||
| Address2: | |||||||||
| City: | SAN FRANCISCO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 941044009 | ||||||||
| CountryCode: | US | ||||||||
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| Practice Location | |||||||||
| Address1: | 601 NEW JERSEY AVE NW STE 200 | ||||||||
| Address2: | SUITE #400 | ||||||||
| City: | WASHINGTON | ||||||||
| State: | DC | ||||||||
| PostalCode: | 200012018 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2022041090 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 06/27/2013 | ||||||||
| LastUpdateDate: | 07/05/2016 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | 0116026127 | VA | N | Allopathic & Osteopathic Physicians | Family Medicine | 207Q00000X | MD044413 | DC | Y | Allopathic & Osteopathic Physicians | Family Medicine |
No ID Information.