Provider Demographics
NPI:1487371712
Name:DHILLON, AMRJIT KAUR (MSN, APRN, AGNP-C)
Entity type:Individual
Prefix:
First Name:AMRJIT
Middle Name:KAUR
Last Name:DHILLON
Suffix:
Gender:F
Credentials:MSN, APRN, AGNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:607 ZUMWALT XING
Mailing Address - Street 2:
Mailing Address - City:O FALLON
Mailing Address - State:MO
Mailing Address - Zip Code:63366-4415
Mailing Address - Country:US
Mailing Address - Phone:636-443-3898
Mailing Address - Fax:
Practice Address - Street 1:12277 DE PAUL DR STE 100
Practice Address - Street 2:
Practice Address - City:BRIDGETON
Practice Address - State:MO
Practice Address - Zip Code:63044-2577
Practice Address - Country:US
Practice Address - Phone:314-209-5142
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-10-26
Last Update Date:2025-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2022014491363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology