MEDICARE: JILLIAN FERLAND APRN

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	363LF0000X	Family Nurse Practitioner	APRN11026995	FL

General Provider Information

NPI Number	:	1083399281
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JILLIAN FERLAND APRN

Provider Business Mailing Address
First Line	:	11198 MANDARIN ST
Second Line	:
City	:	BOCA RATON
State	:	FL
Zip	:	33428-3920
Country	:	US
Telephone Number	:	561-235-6385
Fax Number	:

Provider Business Practice Location Address
First Line	:	11198 MANDARIN ST
Second Line	:
City	:	BOCA RATON
State	:	FL
Zip	:	33428-3920
Country	:	US
Telephone Number	:	561-235-6385
Fax Number	:

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

Provider Enumeration Date	:	06/16/2023
Last Update Date	:	10/22/2024

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