# JILL RENEE GOVEN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1780776559
- **Gender:** F
- **Credential:** FNP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | R25966 | ND | Yes |

## Other

- **Enumeration date:** 09/29/2006
- **Last updated:** 01/03/2020

## 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 |