Individual
DR. JILL E. NYE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
119 NEVADA DR, KULPMONT, PA 17834-1957
(570) 373-1250
(570) 373-1718
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-3034
(570) 271-6144
(570) 271-6578
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS010661L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0018279060001
—
PA
Enumeration date
04/11/2006
Last updated
08/20/2020
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