# JILL ROCCARO BASS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1417396870
- **Gender:** F
- **Credential:** APRN, CSN

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WP0000X | Pain Management Registered Nurse | 320000.1245 | WY | — |
| 364S00000X | Clinical Nurse Specialist | 320001245 | WY | Yes |

## Other

- **Enumeration date:** 06/19/2013
- **Last updated:** 07/26/2021