Doctor Name: | JILL JOCELYN CHRISTIE |
NPI Number: | 1790719144 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | C.F.N.P |
License Number: | R 119316-5 |
Business Practice Address: | 1272 Walnut St Dawson, MN - 562322333 |
Business Phone Number: | 3207694393 |
Business Fax Number: | 3207692972 |
Mailing Address: | 1272 Walnut St, DAWSON |
State: | MN |
Postal Code: | 562322333 |
Phone Number: | 3207694393 |
Fax Number: | 3207692972 |
NPI Enumeration Date: | 07/10/2006 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | R 119316-5 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |