Jill Lynn Federer, NP
Nurse Practitioner, Family in Ypsilanti, MI. Individual provider (NPI-1).
NPI number1255655510
StatusActive
Last updated in NPPESAug 9, 2023
Details
- NPI
- 1255655510
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Jill Lynn Federer
- Credential
- NP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 16, 2010
- Last updated
- Aug 9, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 4704230297 | MI | Yes |
| 163WR0006X | Registered Nurse, Registered Nurse First Assistant | 4704230297 | MI | |
| 363LF0000X | Nurse Practitioner, Family | 3007458 | OH |
Practice location
Iha Breast Surgery5320 Elliott Drive Suite 203
Ypsilanti, MI 48197
Phone 734-712-1700 · Fax 734-887-8938
Mailing address
24 Frank Lloyd Wright DriveSuite J2000
Ann Arbor, MI 48105
Phone 734-747-6766 · Fax 734-222-3100
Other practice locations
730 N Macomb St Ste 329
Monroe, MI 48162-2904
Monroe, MI 48162-2904
Phone 734-240-5860 · Fax 734-240-5899
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