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Individual
JILL RENEE GOVEN
Active
Individual
JILL RENEE GOVEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R25966
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
13704
—
ND
05
—
1461064
—
ND
05
—
1461065
—
ND
01
—
1770591927
COMMERICAL INSURANCE
ND
05
—
19605
—
ND
01
—
23642
BCBS
ND
01
—
23643
BCBS
ND
01
—
24011
BCBS
ND
01
—
24014
BCBS
ND
Enumeration date
09/29/2006
Last updated
01/03/2020
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