Individual
JILL FAULKNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
2130 COOPER AVE, MERCED, CA 95348-4304
(209) 381-6665
(209) 381-5901
Mailing address
PO BOX 1858, MARIPOSA, CA 95338-1858
(209) 769-6890
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
502631
CA
363LP0200X
Pediatric Nurse Practitioner
Primary
95014205
CA
Other
Enumeration date
10/04/2022
Last updated
10/04/2022
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