Healthcare Provider Details

I. General information

NPI: 1154413946
Provider Name (Legal Business Name): JILL ANN FINCHER MSN, NNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/29/2006
Last Update Date: 03/21/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

657 N TOWN CENTER DR
LAS VEGAS NV
89144-6367
US

IV. Provider business mailing address

7704 KASMERE FALLS DR
LAS VEGAS NV
89149-5170
US

V. Phone/Fax

Practice location:
  • Phone: 702-233-7786
  • Fax: 702-233-7423
Mailing address:
  • Phone: 605-390-8640
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LN0005X
TaxonomyCritical Care Neonatal Nurse Practitioner
License NumberAPN000924
License Number StateNV
# 2
Primary TaxonomyN
Taxonomy Code163WN0002X
TaxonomyNeonatal Intensive Care Registered Nurse
License NumberRN54299
License Number StateNV
# 3
Primary TaxonomyY
Taxonomy Code363LN0000X
TaxonomyNeonatal Nurse Practitioner
License NumberAPN000924
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: