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NPI Code Detail

MEDICARE: JILL M RIFE MSN, NP-C

MEDICARE: JILL M RIFE MSN, NP-C
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
1363LF0000XFamily Nurse Practitioner939AK

General Provider Information

NPI Number : 1457402190
Entity Type Code : Individual
Provider Name (Legal Business Name) : JILL M RIFE MSN, NP-C
Provider Business Mailing Address
First Line : 4136 BARTLETT ST
Second Line :
City : HOMER
State : AK
Zip : 99603-7001
Country : US
Telephone Number : 907-235-8586
Fax Number : 907-235-6639
Provider Business Practice Location Address
First Line : 4136 BARTLETT ST
Second Line :
City : HOMER
State : AK
Zip : 99603-7001
Country : US
Telephone Number : 907-235-8586
Fax Number : 907-235-6639
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/16/2007
Last Update Date : 06/30/2023

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