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1023049053

NPI Code Detail

MEDICARE: JILL LOUISE STUDLEY

MEDICARE: JILL LOUISE STUDLEY

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	207RG0300X	Geriatric Medicine (Internal Medicine) Physician	L4738	TX
2	207R00000X	Internal Medicine Physician	L4738	TX
3	207RG0300X	Geriatric Medicine (Internal Medicine) Physician	2020-03905	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	8X0054	OTHER	TX	BCBS
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	8S3697	OTHER	TX	BCBS

General Provider Information

NPI Number	:	1023049053
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JILL LOUISE STUDLEY

Provider Business Mailing Address
First Line	:	5730 EXECUTIVE DR STE 230
Second Line	:
City	:	CATONSVILLE
State	:	MD
Zip	:	21228-1762
Country	:	US
Telephone Number	:	972-232-8080
Fax Number	:	800-281-9558

Provider Business Practice Location Address
First Line	:	8000 FRANKFORD RD
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75252-6834
Country	:	US
Telephone Number	:	972-232-8080
Fax Number	:	972-232-8099

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

Provider Enumeration Date	:	07/06/2006
Last Update Date	:	02/26/2026

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Directions to “ JILL LOUISE STUDLEY ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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