Individual
JILL M CUCINELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
406 N 1ST ST, VINCENNES, IN 47591-1340
(812) 885-6950
(812) 885-6951
Mailing address
406 N 1ST ST, VINCENNES, IN 47591-1340
(812) 885-6950
(812) 885-6951
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71006392A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000001039566
ANTHEM
IN
05
—
201375380
—
IN
Enumeration date
07/18/2016
Last updated
12/14/2016
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