Federer, Jill Lynn

Federer, Jill Lynn is an individual health care provider with primary practice located at Iha Breast Surgery 5320 Elliott Drive Suite 203, Ypsilanti MI 48197. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse First Assistant, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Federer, Jill Lynn can be contacted via phone (734) 712-1700.

Contact Information

Primary practice address
Iha Breast Surgery 5320 Elliott Drive Suite 203 Ypsilanti MI 48197
Phone: (734) 712-1700
Fax: (734) 887-8938
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse First Assistant 163WR0006X 4704230297 Michigan
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 3007458 Ohio
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 4704230297 Michigan

Profile Details

NPI number 1255655510
LBN Legal business name Federer, Jill Lynn
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 16th, 2010
Last updated Aug 9th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255655510 NPPES
Michigan Other JF230297 RN LIC.

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