Provider Demographics
NPI:1154697415
Name:SANCHEZ, JILL HUMPHREY (RN, CNOR, RNFA)
Entity type:Individual
Prefix:
First Name:JILL
Middle Name:HUMPHREY
Last Name:SANCHEZ
Suffix:
Gender:F
Credentials:RN, CNOR, RNFA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14366 CROWBERRY CT
Mailing Address - Street 2:
Mailing Address - City:WELLINGTON
Mailing Address - State:FL
Mailing Address - Zip Code:33414-8276
Mailing Address - Country:US
Mailing Address - Phone:561-261-7777
Mailing Address - Fax:
Practice Address - Street 1:14366 CROWBERRY CT
Practice Address - Street 2:
Practice Address - City:WELLINGTON
Practice Address - State:FL
Practice Address - Zip Code:33414-8276
Practice Address - Country:US
Practice Address - Phone:561-261-7777
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-03-30
Last Update Date:2012-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN9182947163WR0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First Assistant