JILL MCMULLEN (NPI# 1174893879) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174893879 |
| Entity Type | Individual |
| Full Name | JILL MCMULLEN |
| Credential | D.N.P. |
| Practice Address |
306 4th St N Fargo ND 58102-4820 |
| Practice Telephone | 7012713344 |
| Enumeration Date | 2012-01-11 |
| Last Update Date | 2012-01-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
31131 | ND | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740285998 | Jill P Mcmullen | Family Medicine | 1330 N Superior Ave, Tomah, WI 54660-1130 | 2005-06-15 |
| Street Address |
306 4TH ST N |
| City | FARGO |
| State | ND |
| Zip Code | 58102-4820 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437153905 | Jay R Metzger | Physician Assistant | 306 4th St N, Fargo, ND 58102-4820 | 2005-06-13 |
| 1134431729 | Andrea Lynn Wilson | Dentist | 306 4th St N, Fargo, ND 58102-4820 | 2010-07-12 |
| 1861637852 | Randy C Swingen | Nurse Practitioner | 306 4th St N, Fargo, ND 58102-4820 | 2008-12-05 |
| 1619137551 | Joanna Brekhus | Dentist | 306 4th St N, Fargo, ND 58102-4820 | 2008-06-13 |
| 1437353406 | Lacee Janelle Steinberger | Nurse Practitioner | 306 4th St N, Fargo, ND 58102-4820 | 2007-06-13 |
| 1336366798 | Bonnie Anderson | Nurse Practitioner | 306 4th St N, Fargo, ND 58102-4820 | 2007-04-19 |
| 1407921919 | Robert E Hackley Jr. | Dentist | 306 4th St N, Fargo, ND 58102-4820 | 2006-11-21 |
| 1053480277 | William Savage | Dentist | 306 4th St N, Fargo, ND 58102-4820 | 2006-11-06 |
| 1942379060 | Terrence L Johnson | Dentist | 306 4th St N, Fargo, ND 58102-4820 | 2006-11-06 |
| 1295804334 | Jeremy P Wehrman | Dentist | 306 4th St N, Fargo, ND 58102-4820 | 2006-11-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780285924 | Shelley Dene Townsend-hansen | Dentist | 1017 Broadway N, Fargo, ND 58102 | 2020-11-04 |
| 1275190779 | Anthony Joseph Duncan | Student in an Organized Health Care Education/Training Program | 1919 Elm Streent North, Fargo, ND 58102 | 2019-05-21 |
| 1003472317 | Sadie Marie Nelson | Nurse Practitioner | Sanford Broadway Clinic, 801 North Broadway, Fargo, ND 58102 | 2019-05-13 |
| 1124523576 | Christopher Peroutka | Specialist/Technologist | 1300 17th Ave N, Fargo, ND 58102 | 2018-03-28 |
| 1205331873 | Nathan Koens | Specialist/Technologist | 1300 17th Avenue North, Fargo, ND 58102 | 2018-03-27 |
| 1376063370 | Abby Nicole Fredrickson | Student in an Organized Health Care Education/Training Program | 1919 Elm Street North, Fargo, ND 58102 | 2017-06-21 |
| 1780118331 | Stephanie Melquist | Internal Medicine | Internal Medicine Resident Clinic, 801 N Broadway, Fargo, ND 58102 | 2017-04-19 |
| 1104215623 | Justin Lervik | Social Worker | 211 Elm St. N, 122, Fargo, ND 58102 | 2015-01-21 |
| 1770919441 | Courtney Ann Simanski | Speech-Language Pathologist | 415 4th St. N., Fargo, ND 58102 | 2013-09-25 |
| 1821431206 | Lanell Staroba | Pharmacist | 706 D 38th St, Fargo, ND 58102 | 2013-04-16 |
| Find all providers in zip 58102 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447872163 | Gina Marie Kinzler | Nurse Practitioner | 4840 23rd Ave S, Fargo, ND 58104-9136 | 2020-05-15 |
| 1669017265 | Haley Faye Wahl | Nurse Practitioner | 761 48th St S, Fargo, ND 58103-7216 | 2019-11-07 |
| 1952882748 | Tonya L Hager | Nurse Practitioner | 1401 32nd St Sw, Fargo, ND 58103-3428 | 2018-08-28 |
| 1295257400 | Nicole L. Mears | Nurse Practitioner | 301 Northern Pacific Ave N, Fargo, ND 58102-4835 | 2017-07-10 |
| 1023491909 | James Troy Upton | Nurse Practitioner | 3000 32nd Avenue, Essentia Health 32nd Avenue Clinic, Fargo, ND 58103-6132 | 2015-07-09 |
| 1437404795 | Melissa Ann Knecht-savey | Nurse Practitioner | 222 Broaway N, Ste. B100e, Fargo, ND 58102-4479 | 2012-07-23 |
| 1457615155 | Chantee Seung Gruenhagen | Nurse Practitioner | 737 North Broadway, Sanford Urology Clinic, Fargo, ND 58122 | 2012-06-27 |
| 1144592486 | Sara B Hansen | Nurse Practitioner | 3955 56th St S Ste D, Fargo, ND 58104-4845 | 2012-02-02 |
| 1740417302 | Beverly Jeanne Greenwald | Nurse Practitioner | 117 22 St S, Fargo, ND 58103 | 2009-06-22 |
| 1104065499 | Tamra A Garberg | Nurse Practitioner | 5257 27th St S Ste 201, Fargo, ND 58104-7782 | 2009-02-11 |
| Find all providers in FARGO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.