Individual
JENNIFER R BILLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
800 W MAIN ST, COLDWATER, OH 45828-1613
(419) 678-8446
(419) 678-5996
Mailing address
800 W MAIN ST, COLDWATER, OH 45828-1613
(419) 678-5115
(419) 678-5643
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
12505-NP
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005115
—
OH
Enumeration date
08/08/2011
Last updated
11/07/2018
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