JILL ELLEN EDWARDS CNM NPI 1356462006

NPI Information

NPI: 1356462006
Provider Name: JILL ELLEN EDWARDS, CNM
Classification: Nurse Practitioner - 363LX0001X
Entity Type: Individual

Specialization: Obstetrics & Gynecology

Organization: VITALMD GROUP HOLDING LLC

PECOS Registration: Yes

Address:
8340 LAKEWOOD RANCH BLVD STE 140
LAKEWOOD RANCH, FL
ZIP 34202
Phone: (941) 907-9298
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Jill Ellen Edwards, CNM is an obstetrics and gynecology nurse practitioner in Lakewood Ranch, FL with 20 years of experience. Jill Ellen Edwards, CNM NPI is 1356462006. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

8340 LAKEWOOD RANCH BLVD STE 140
LAKEWOOD RANCH, FL
ZIP 34202-183
Phone: (941) 907-9298

The NPI 1356462006 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 4/2/2007 and was last updated on 8/16/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LX0001X	Nurse Practitioner	Obstetrics & Gynecology	ARNP9346300	FLORIDA	Yes
2	367A00000X	Advanced Practice Midwife		ARNP9346300	FLORIDA	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	014376400	MEDICAID	FLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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