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NPI Code Detail

MEDICARE: MRS. JILL THORNTON RITCHEY RN, MS, CPNP

MEDICARE: MRS. JILL THORNTON RITCHEY RN, MS, CPNP
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
1363LP0200XPediatric Nurse PractitionerAP115321TX

General Provider Information

NPI Number : 1871795377
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. JILL THORNTON RITCHEY RN, MS, CPNP
Provider Business Mailing Address
First Line : 1935 MEDICAL DISTRICT DR
Second Line :
City : DALLAS
State : TX
Zip : 75235-7701
Country : US
Telephone Number : 469-303-0075
Fax Number : 463-303-4043
Provider Business Practice Location Address
First Line : 1935 MEDICAL DISTRICT DR
Second Line :
City : DALLAS
State : TX
Zip : 75235-7701
Country : US
Telephone Number : 469-303-0075
Fax Number : 469-303-4043
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/05/2007
Last Update Date : 01/28/2026

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