Individual ProviderJilleen Langston KirklandNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address305 N 500 W, St George, UT 84770-4520(435) 669-4403(602) 295-6757PECOS EnrollmentBased on the most recent information from CMS, provider Jilleen Langston Kirkland does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 6 days ago.Profile DetailsProvider ID1578131330Provider TypeIndividualFull NameLangston Kirkland, JilleenGenderFemaleSole ProprietorNoEnumeration Date6/16/2021Last Updated6/16/2021Contact InformationPractice LocationPractice Address305 N 500 W, St George, UT 84770-4520Phone(435) 669-4403FaxUnlisted FaxMailing LocationMailing Address172 S 200 E, Saint George, UT 84770-3436Phone(602) 295-6757FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense8789888-4405Utah