Individual
JILL DEFELICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
507 BROAD AVE, BELLE VERNON, PA 15012-1405
(724) 276-2278
(724) 276-2264
Mailing address
507 BROAD AVE, BELLE VERNON, PA 15012-1405
(724) 276-2278
(724) 276-2264
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
SP028417
PA
363LF0000X
Family Nurse Practitioner
SP013654
PA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
SP028417
PA
Other
Enumeration date
10/15/2014
Last updated
01/30/2026
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