Jean L Gullicks is a Family in Fargo, North Dakota. Jean L Gullicks practices all healthcare services and medical treatments related to Family. The NPI Number for Jean L Gullicks is 1871520635. The last update date is 2023-01-24.
Jean L Gullicks's current location address is 1112 Nodak Dr S, Fargo, North Dakota. You can contact this provider via phone number 7012326224 and fax number 7012324687. The mailing address for Jean L Gullicks is 1112 Nodak Dr S, Fargo, North Dakota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jean L Gullicks |
|---|---|
| Address | 1112 Nodak Dr S, Fargo, North Dakota |
| Phone Number | 7012326224 |
| Fax Number | 7012324687 |
| Sole Proprietor | N |
| Credentials | APRN, FNP |
NPI Number Detail
| NPI Number | 1871520635 |
|---|---|
| Provider Enumeration Date | 2006-06-27 |
| Last Updated Date | 2023-01-24 |
Provider Mailing Address Detail
| Address | 1112 Nodak Dr S |
|---|---|
| City | Fargo |
| State | North Dakota (ND) |
| Post Code | 581032333 |
| Phone Number | 7012326224 |
| Fax Number | 7012324687 |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | R16783 |
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Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1467682 | ND | -- |
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What is the unique provider identifier assigned to Jean L Gullicks?
The Jean L Gullicks has been issued the NPI (National Provider Identifier) 1871520635 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Where is the Jean L Gullicks located?
The Jean L Gullicks is located at 1112 Nodak Dr S, Fargo, ND 581032333.
What is the Jean L Gullicks's area of specialization and corresponding taxonomy classification?
The Jean L Gullicks's specialty field is Family, and it falls under the taxonomy code 363Lf0000X, which categorizes healthcare providers based on their specialties.
On what date was the 1871520635 assigned to Jean L Gullicks?
The Jean L Gullicks was issued its 1871520635 on 2006-06-27, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Jean L Gullicks, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Jean L Gullicks, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2023-01-24.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY