| Jillian Ullo, | |
|
65 W Jimmie Leeds Rd, Pomona, NJ 08240-9102 | |
| (609) 748-7089 | |
| Not Available |
| Full Name | Jillian Ullo |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 65 W Jimmie Leeds Rd, Pomona, New Jersey |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013448307 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 26NJ00708800 (New Jersey) | Primary |
| Entity Name | Atlanticare Physician Group Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093829608 PECOS PAC ID: 8527953660 Enrollment ID: O20040218000405 |
| Mailing Address | Practice Location Address |
|---|---|
| Jillian Ullo, 5 Fox Tail Ct, Sewell, NJ 08080-3064 Ph: (856) 381-6124 | Jillian Ullo, 65 W Jimmie Leeds Rd, Pomona, NJ 08240-9102 Ph: (609) 748-7089 |
Sara M Neyers, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: Jimmie Leeds Road, Atlanticare Regional Medical Center, Pomona, NJ 08240 Phone: 609-652-1000 | |
Phillip Campanella, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 65 W Jimmie Leeds Rd, Pomona, NJ 08240 Phone: 609-652-1000 | |
Ms. Tammy Delores Hart, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 65 W Jimmie Leeds Rd, Pomona, NJ 08240 Phone: 609-652-1000 | |
Amy Dow, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 65 W Jimmie Leeds Rd, Pomona, NJ 08240 Phone: 609-652-1000 | |
Cory Robert Hall, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 65 W Jimmie Leeds Rd, Pomona, NJ 08240 Phone: 609-652-1000 | |
Conrado Manalo Sampedro, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 65 W Jimmie Leeds Rd, Pomona, NJ 08240 Phone: 609-652-1000 |