MRS. JILL LYNN FEDERER NP NPI 1255655510

NPI Information

NPI: 1255655510
Provider Name: MRS. JILL LYNN FEDERER, NP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
IHA BREAST SURGERY
5320 ELLIOTT DRIVE SUITE 203
YPSILANTI, MI
ZIP 48197
Phone: (734) 712-1700
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MRS. Jill Lynn Federer, NP is a family nurse practitioner in Ypsilanti, MI with 9 years of experience. MRS. Jill Lynn Federer, NP NPI is 1255655510. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

IHA BREAST SURGERY
5320 ELLIOTT DRIVE SUITE 203
YPSILANTI, MI
ZIP 48197
Phone: (734) 712-1700
Fax: (734) 887-8938

The NPI 1255655510 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/16/2010 and was last updated on 8/9/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163WR0006X	Registered Nurse	Registered Nurse First Assistant	4704230297	MICHIGAN	No
2	363LF0000X	Nurse Practitioner	Family	3007458	OHIO	No
3	363LF0000X	Nurse Practitioner	Family	4704230297	MICHIGAN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	JF230297	OTHER	MICHIGAN	RN LIC.

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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