Individual
MRS. JILL SPRINGER MARION
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, IBCLC
Contact information
Practice address
1150 E GRANDVIEW RD, PHOENIX, AZ 85022-2661
(202) 674-9894
Mailing address
1150 E GRANDVIEW RD, PHOENIX, AZ 85022-2661
(202) 674-9894
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
235770
AZ
163W00000X
Registered Nurse
826671
CA
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
L-135096
AZ
Other
Enumeration date
04/06/2018
Last updated
05/03/2023
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