Most Relevant Information
Provider Data
| NPI Number: | 1003230145 |
| Provider Name: | JILL KOORS FNP-BC |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | 28188396A |
Most Important Dates
| Enumeration Date: | 02/10/2014 |
| Last Updated: | 02/10/2014 |
Provider Practice Location
955 N MICHIGAN AVE
SUITE 83
GREENSBURG
IN
472401487
Practice Location Phone/Fax
| Phone: | 8126626450 |
| Fax: |
Provider Mailing Location
955 N MICHIGAN AVE
SUITE 83
GREENSBURG
IN
472401487
Provider Mailing Phone/Fax
| Phone: | 8126626450 |
| Fax: |