Individual
JILL M NEUBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
5215 HOLY CROSS PKWY, MISHAWAKA, IN 46545-1469
(574) 335-5000
Mailing address
707 E CEDAR ST, STE 200, SOUTH BEND, IN 46617-2057
(574) 335-8700
(574) 335-0760
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
28218814A
IN
363L00000X
Nurse Practitioner
4704214223
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201256860
—
IN
05
—
4371929
—
MI
Enumeration date
04/02/2007
Last updated
09/14/2016
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