Individual
JILL MARIE GEER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
510 W ADAMS ST, SUITE 150, PLYMOUTH, IN 46563-1765
(574) 335-7900
(574) 335-0850
Mailing address
6528 STILLWATER AVE, PORTAGE, IN 46368-7226
(989) 763-1128
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71005434A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000932414
BCBS
IN
05
—
201286710
—
IN
Enumeration date
04/29/2015
Last updated
03/22/2018
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