JILL VAN EARL CRNP NPI 1982607818

NPI Information

NPI: 1982607818
Provider Name: JILL VAN EARL, CRNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
3413 HARVEST DR
GORDONVILLE, PA
ZIP 17529
Phone: (717) 768-7141
Get Directions

Jill Van Earl, CRNP is a family nurse practitioner in Gordonville, PA. Jill Van Earl, CRNP NPI is 1982607818. 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:

3413 HARVEST DR
GORDONVILLE, PA
ZIP 17529-586
Phone: (717) 768-7141
Fax: (717) 768-3528

The NPI 1982607818 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, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/24/2005 and was last updated on 5/27/2015.

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	363LF0000X	Nurse Practitioner	Family	SP010061	PENNSYLVANIA	Yes

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	3647470	OTHER	PENNSYLVANIA	AETNAHMO
2	084517	MEDICARE PIN	PENNSYLVANIA
3	50038208	OTHER	PENNSYLVANIA	ID/CAPITOLBLUECROSS
4	Q26500	MEDICARE UPIN	PENNSYLVANIA
5	EA1641588	OTHER	PENNSYLVANIA	HIGHMARK BLUE SHEILD
6	101205598 0001	MEDICAID	PENNSYLVANIA
7	50038209	OTHER	PENNSYLVANIA	GRP#/CAPBLUECROSS
8	7233600	OTHER	PENNSYLVANIA	AETNAPPO/PIN

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: 5/5/2024

NPI Synchronization or Removal

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