Fitzpatrick, Jill M

Fitzpatrick, Jill M is an individual health care provider with primary practice located at 1111 Ronald Reagan Pkwy , Avon IN 46123-7085. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Fitzpatrick, Jill M can be contacted via phone (317) 217-3500.

Contact Information

Primary practice address
1111 Ronald Reagan Pkwy Avon IN 46123-7085
Phone: (317) 217-3500
Fax: (317) 217-3115
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 71003715A Indiana

Profile Details

NPI number 1407131766
LBN Legal business name Fitzpatrick, Jill M
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 19th, 2011
Last updated Jul 24th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407131766 NPPES
Indiana MEDICAID 201041790

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