MEDICARE: MS. JILL MARIAN KONFRST ARNP

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
1	363L00000X	Nurse Practitioner	A076744	IA

General Provider Information

NPI Number	:	1801893250
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. JILL MARIAN KONFRST ARNP

Provider Business Mailing Address
First Line	:	PO BOX 43
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55440-0043
Country	:	US
Telephone Number	:	612-262-1166
Fax Number	:	612-262-4258

Provider Business Practice Location Address
First Line	:	412 E OSKALOOSA ST
Second Line	:
City	:	PELLA
State	:	IA
Zip	:	50219-2208
Country	:	US
Telephone Number	:	641-780-0743
Fax Number	:	641-204-0218

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/30/2005
Last Update Date	:	09/18/2019

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