Individual
JILL RENEE GOVEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1167 BORDER LN, WASHBURN, ND 58577-4102
(701) 462-3389
(888) 306-1159
Mailing address
PO BOX 253, UNDERWOOD, ND 58576-0253
(701) 442-3148
(888) 306-1159
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R25966
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
13704
—
ND
05
—
1461064
—
ND
05
—
1461065
—
ND
01
—
1770591927
COMMERICAL INSURANCE
ND
05
—
19605
—
ND
01
—
23642
BCBS
ND
01
—
23643
BCBS
ND
01
—
24011
BCBS
ND
01
—
24014
BCBS
ND
Enumeration date
09/29/2006
Last updated
01/03/2020
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