| Jill Porter Crnp Pa | |
|
1310 Belmont Ave Suite 302 Salisbury MD 21804-4506 | |
| (410) 430-7247 | |
| (443) 458-0661 |
| Full Name | Jill Porter Crnp Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 1310 Belmont Ave, Salisbury, Maryland |
| Authorized Official Name and Position | Jill Renee Porter (OWNER) |
| Authorized Official Contact | 4104307247 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jill Porter Crnp Pa 1310 Belmont Ave Suite 302 Salisbury MD 21804-4506 Ph: (443) 953-1278 | Jill Porter Crnp Pa 1310 Belmont Ave Suite 302 Salisbury MD 21804-4506 Ph: (410) 430-7247 |
| NPI Number | 1861948853 |
|---|---|
| Provider Enumeration Date | 08/30/2016 |
| Last Update Date | 01/10/2023 |
| Medicare PECOS PAC ID | 0941598023 |
|---|---|
| Medicare Enrollment ID | O20161005000168 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861948853 | NPI | - | NPPES |
| Provider Name | Jill R Porter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053441881 PECOS PAC ID: 7911989736 Enrollment ID: I20040604000758 |
| Provider Name | Sarah Bowden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962033548 PECOS PAC ID: 9133556525 Enrollment ID: I20200225000648 |
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