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NPI Code Detail

MEDICARE: MRS. JILL ANN FRANCES CRNP.

MEDICARE: MRS. JILL ANN FRANCES CRNP.
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
1174400000XSpecialist0024179311VA
2363LA2200XAdult Health Nurse Practitioner24179311VA
3363LA2200XAdult Health Nurse Practitioner0024179311VA

General Provider Information

NPI Number : 1164427142
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. JILL ANN FRANCES CRNP.
Provider Business Mailing Address
First Line : 1376 WARES GAP RD
Second Line :
City : MONROE
State : VA
Zip : 24574-2702
Country : US
Telephone Number : 443-775-9879
Fax Number :
Provider Business Practice Location Address
First Line : 2542 LANGHORNE RD
Second Line :
City : LYNCHBURG
State : VA
Zip : 24501-1602
Country : US
Telephone Number : 434-200-5297
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/16/2005
Last Update Date : 11/23/2022

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Directions to “ MRS. JILL ANN FRANCES CRNP.” Practice Location

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