Fierro, Jill
Fierro, Jill is an sole proprietor health care provider with primary practice located at 2402 W Pierce St Ste 4A, Carlsbad NM 88220-3537. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Fierro, Jill can be contacted via phone (575) 234-9964.Contact Information
Primary practice address
2402 W Pierce St Ste 4A
Carlsbad NM 88220-3537
Phone: (575) 234-9964
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | CNP02149 | New Mexico |
Profile Details
| NPI number | 1104167477 |
|---|---|
| LBN Legal business name | Fierro, Jill |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 11th, 2013 |
| Last updated | Mar 11th, 2013 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1104167477 | NPPES |
| New Mexico | MEDICAID | 000T9592 |
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