Cucinella, Jill M
Cucinella, Jill M is an individual health care provider with primary practice located at 406 N 1St St , Vincennes IN 47591-1340. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Cucinella, Jill M can be contacted via phone (812) 885-6950.Contact Information
Primary practice address
406 N 1St St
Vincennes IN 47591-1340
Phone: (812) 885-6950
Fax: (812) 885-6951
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 71006392A | Indiana |
Profile Details
| NPI number | 1285087973 |
|---|---|
| LBN Legal business name | Cucinella, Jill M |
| Credentials | FNP-C |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 18th, 2016 |
| Last updated | Dec 14th, 2016 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1285087973 | NPPES |
| Indiana | MEDICAID | 201375380 | |
| Indiana | Other | 000001039566 |
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