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NPI Code Detail

MEDICARE: JILLIAN SPRINGER

MEDICARE: JILLIAN SPRINGER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363L00000XNurse Practitioner12730574-4405UT
2163W00000XRegistered Nurse859150TX

General Provider Information

NPI Number : 1205504156
Entity Type Code : Individual
Provider Name (Legal Business Name) : JILLIAN SPRINGER
Provider Business Mailing Address
First Line : PO BOX 30180
Second Line :
City : SALT LAKE CITY
State : UT
Zip : 84130-0180
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1935 MEDICAL DISTRICT DR
Second Line :
City : DALLAS
State : TX
Zip : 75235-7701
Country : US
Telephone Number : 214-456-7000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/03/2021
Last Update Date : 02/26/2026

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Directions to “ JILLIAN SPRINGER ” Practice Location

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