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Individual
NANITA JILL CONNER
Active
Individual
NANITA JILL CONNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71003017A
IN
363LF0000X
Family Nurse Practitioner
71003017A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000759066
ANTHEM BCBS
—
05
—
200956810
—
IN
05
—
7100104180
—
KY
Enumeration date
09/03/2009
Last updated
03/07/2023
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