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NPI Code Detail

MEDICARE: JILL JOSEPH SKLADANY RN, CNP

MEDICARE: JILL JOSEPH SKLADANY RN, CNP
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
1363L00000XNurse PractitionerAPRN.CNP.14003OH
2363LA2100XAcute Care Nurse PractitionerCOA.14003-NPOH

General Provider Information

NPI Number : 1720331069
Entity Type Code : Individual
Provider Name (Legal Business Name) : JILL JOSEPH SKLADANY RN, CNP
Provider Business Mailing Address
First Line : 3333 BURNET AVE
Second Line : ML 2001
City : CINCINNATI
State : OH
Zip : 45229-3026
Country : US
Telephone Number : 513-636-4408
Fax Number : 513-636-7337
Provider Business Practice Location Address
First Line : 3333 BURNET AVE
Second Line : ML 2001
City : CINCINNATI
State : OH
Zip : 45229-3026
Country : US
Telephone Number : 513-636-4408
Fax Number : 513-636-7337
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/24/2012
Last Update Date : 04/23/2026

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