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NPI Code Detail

MEDICARE: JILL CATRIN MCLAUGHLIN FNP-C

MEDICARE: JILL CATRIN MCLAUGHLIN FNP-C
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
1363LF0000XFamily Nurse Practitioner343219NY

General Provider Information

NPI Number : 1790270817
Entity Type Code : Individual
Provider Name (Legal Business Name) : JILL CATRIN MCLAUGHLIN FNP-C
Provider Business Mailing Address
First Line : 7 RIDGEVIEW LN
Second Line :
City : PORT JERVIS
State : NY
Zip : 12771
Country : US
Telephone Number : 914-213-9619
Fax Number :
Provider Business Practice Location Address
First Line : 7 RIDGEVIEW LN
Second Line :
City : PORT JERVIS
State : NY
Zip : 12771-3515
Country : US
Telephone Number : 914-213-9619
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/30/2018
Last Update Date : 11/03/2020

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