Jill Van Tholen
NPI #1477955201 in Saint John, Indiana
Provider Information
- NPI Number
- 1477955201
- Entity Type
- Individual
- Name
- Jill Van Tholen
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner
- Enumeration Date
- Sep 24, 2014
- Last Updated
- Mar 19, 2025
Practice Location
- Address
- 9495 KEILMAN ST STE 6
- City
- Saint John
- State
- Indiana
- ZIP Code
- 46373-9295
- Phone
- (219) 440-1232
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner |
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Organizations
| Provider Name | |
|---|---|
| Center for Myofascial Therapeutics and Aesthetics |
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