Individual
JILL CARLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN MSN NP
Contact information
Practice address
9330 BROADWAY, CROWN POINT, IN 46307-8602
(219) 662-5065
Mailing address
9330 BROADWAY, CROWN POINT, IN 46307-8602
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71001170A
IN
Other
Enumeration date
03/10/2006
Last updated
07/16/2007
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