Healthcare Provider Details

I. General information

NPI: 1457725665
Provider Name (Legal Business Name): JILL MADIGAN CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: JILL ARTER

II. Dates (important events)

Enumeration Date: 11/26/2015
Last Update Date: 01/09/2020
Certification Date: 01/09/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2401 PARK DR STE 101
HARRISBURG PA
17110-9303
US

IV. Provider business mailing address

3421 CONCORD RD
YORK PA
17402-9001
US

V. Phone/Fax

Practice location:
  • Phone: 717-686-9842
  • Fax:
Mailing address:
  • Phone: 717-812-2202
  • Fax: 717-851-4184

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License NumberSP015572
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: