Individual
JILL ROCCARO BASS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN, CSN
Contact information
Practice address
170 ARROWHEAD DR STE 2, EVANSTON, WY 82930-9307
(307) 212-6270
(307) 212-6271
Mailing address
2620 COMMERCIAL WAY STE 20, ROCK SPRINGS, WY 82901-4705
(307) 212-6270
Taxonomy
Speciality
Code
Description
License number
State
163WP0000X
Pain Management Registered Nurse
320000.1245
WY
364S00000X
Clinical Nurse Specialist
Primary
320001245
WY
Other
Enumeration date
06/19/2013
Last updated
07/26/2021
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