| Doctor Name: | JILL FEURT |
| NPI Number: | 1063421048 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CNM FNP |
| License Number: | 53074909112 |
| Business Practice Address: | 1515 Hazel St Suite 101 Carthage, MO - 648362850 |
| Business Phone Number: | 4173580188 |
| Business Fax Number: | 4173584162 |
| Mailing Address: | 11515 Hazel Street, Suite 101 CARTHAGE |
| State: | MO |
| Postal Code: | 648362309 |
| Phone Number: | 4173580188 |
| Fax Number: | 4173584162 |
| NPI Enumeration Date: | 08/07/2006 |
| NPI Last Update Date: | 03/20/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 53074909112 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | KS |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |