Individual
JILL MARIE FABIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
1622 E MARKET ST, WARREN, OH 44483-6613
(330) 399-7215
(330) 399-2411
Mailing address
1141 ILLINOIS AVE, MC DONALD, OH 44437-1639
(330) 509-3788
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN.315355-1
OH
363LF0000X
Family Nurse Practitioner
Primary
COA.18459-NP
OH
Other
Enumeration date
12/09/2015
Last updated
12/09/2015
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