Jill Van Otterloo, PA
Physician Assistant · Forest City, IA
Practice location
635 E Us Highway 9Forest City, IA 50436-1028
- Phone
- (641) 585-2904
- Fax
- (641) 585-5417
NPI record
- NPI
- 1679980783
- Entity type
- Individual (Type 1)
- Enumeration date
- July 21, 2014
- Last updated
- July 21, 2014
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X |
074615 | IA |
Mailing address
621 S Illinois AveSuite 103
Mason City, IA 50401-5489
- Phone
- (641) 428-3041
- Fax
- (641) 428-3059
About Jill Van Otterloo
Jill Van Otterloo, PA is a healthcare provider registered in the NPI registry with the primary taxonomy Physician Assistant (code 363A00000X). The practice location is 635 E Us Highway 9, Forest City, IA 50436-1028. The NPI number 1679980783 was assigned on July 21, 2014 and the record was last updated on July 21, 2014.
Jill Van Otterloo lists a license in the registry: #074615 (IA) for Physician Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Jill Van Otterloo, PA?
The NPI number is 1679980783.
What is the phone number of Jill Van Otterloo?
The phone number listed for the practice location is (641) 585-2904.
Where is Jill Van Otterloo located?
635 E Us Highway 9, Forest City, IA 50436-1028.
What is the taxonomy code for Jill Van Otterloo?
The primary taxonomy code is 363A00000X – Physician Assistant.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
Other Physician Assistant providers in Forest City
- James E. McGuire, PA635 E Us Highway 9
- Timothy L. Ackarman, PA635 E Us Hwy