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NPI Code Detail

MEDICARE: JILLIAN BOSS

MEDICARE: JILLIAN BOSS
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
1171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1972021376
Entity Type Code : Individual
Provider Name (Legal Business Name) : JILLIAN BOSS
Provider Business Mailing Address
First Line : 3020 18TH ST
Second Line :
City : COLUMBUS
State : NE
Zip : 68601-4254
Country : US
Telephone Number : 308-384-7896
Fax Number :
Provider Business Practice Location Address
First Line : 1804 S EDDY ST
Second Line :
City : GRAND ISLAND
State : NE
Zip : 68801-7114
Country : US
Telephone Number : 308-384-7896
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/06/2017
Last Update Date : 03/06/2026

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Directions to “ JILLIAN BOSS ” Practice Location

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