MS. JILL MAUREEN DIETIKER PHN NPI 1639447162

NPI Information

  • NPI: 1639447162
  • Provider Name: MS. JILL MAUREEN DIETIKER, PHN
  • Classification: Registered Nurse - 163WC1500X
  • Specialization: Community Health
  • Entity Type: Individual
  • Address: 20111 CEDAR RD N
    SONORA, CA
    ZIP 95370
  • Phone: (209) 533-7415

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NPI Details

MS. Jill Maureen Dietiker, PHN is a community health registered nurse in Sonora, CA. MS. Jill Maureen Dietiker, PHN NPI is 1639447162. 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:

20111 CEDAR RD N
SONORA, CA
ZIP 95370-939
Phone: (209) 533-7415

The enumeration date for this NPI number is 12/12/2011 and was last updated on 12/12/2011.

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
1163WC1500XRegistered NurseCommunity HealthRN358410CALIFORNIAYes

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: 11/21/2025

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