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Individual
MS. JILL A COULTER
Active
Individual
MS. JILL A COULTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
089219
MO
363LF0000X
Family Nurse Practitioner
Primary
APRN11018254
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10001688200
COMMUNITY HOSPITAL
MO
05
—
428757603
—
MO
05
—
540492501
—
MO
Enumeration date
08/21/2006
Last updated
09/15/2023
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