Jill A Endicott in Joplin - Nurse Practitioner
Jill A Endicott - NPI 1306876818
Jill A Endicott is a Nurse Practitioner in Joplin, Missouri. Jill A Endicott practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Jill A Endicott is 1306876818. The last update date is 2015-03-16.
Jill A Endicott's current location address is Po Box 3810, Joplin, Missouri. You can contact this provider via phone number 4173476400 and fax number 4173476404. The mailing address for Jill A Endicott is Po Box 3810, Joplin, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jill A Endicott |
|---|---|
| Address | Po Box 3810, Joplin, Missouri |
| Phone Number | 4173476400 |
| Fax Number | 4173476404 |
| Sole Proprietor | N |
| Credentials | NP |
NPI Number Detail
| NPI Number | 1306876818 |
|---|---|
| Provider Enumeration Date | 2006-07-03 |
| Last Updated Date | 2015-03-16 |
Provider Mailing Address Detail
| Address | Po Box 3810 |
|---|---|
| City | Joplin |
| State | Missouri (MO) |
| Post Code | 648033810 |
| Phone Number | 4173476400 |
| Fax Number | 4173476404 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | 2004019593 |
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Definition: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 192713 | MO | ANTHEM | |
| P00175249 | RR MEDICARE | ||
| 200034570A | OK | -- | |
| 200265670A | KS | -- | |
| 429313307 | MO | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Jill A Endicott by the Centers for Medicare & Medicaid Services?
The Jill A Endicott has been assigned the NPI (National Provider Identifier) 1306876818. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Jill A Endicott?
The Jill A Endicott is physically situated at Po Box 3810, in the city of Joplin, state of MO, with the postal code 648033810.
What is Jill A Endicott's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Jill A Endicott is Nurse Practitioner, and the corresponding taxonomy classification code for this specialized field is 363L00000X.
On what date did Jill A Endicott receive its 1306876818 assignment from the Centers for Medicare & Medicaid Services?
The Jill A Endicott was assigned its 1306876818 on 2006-07-03, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the Jill A Endicott's information last updated?
The Jill A Endicott's information was last updated on 2015-03-16.