Newcomer, Jill J

Newcomer, Jill J is an individual health care provider with primary practice located at 500 Arcade Ave Suite 400, Elkhart IN 46514-2487. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Newcomer, Jill J can be contacted via phone (574) 522-2284.

Contact Information

Primary practice address
500 Arcade Ave Suite 400 Elkhart IN 46514-2487
Phone: (574) 522-2284
Fax: (574) 522-3952
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 71003312A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 71003312A Indiana

Profile Details

NPI number 1215243704
LBN Legal business name Newcomer, Jill J
Credentials NP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 23rd, 2010
Last updated Apr 28th, 2023 - about 3 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1215243704 NPPES
Indiana MEDICAID 200999010

Popular Providers