Provider Demographics
NPI:1851556344
Name:NOCERINI, JILL E (DNP)
Entity type:Individual
Prefix:MRS
First Name:JILL
Middle Name:E
Last Name:NOCERINI
Suffix:
Gender:F
Credentials:DNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:202 BATES AMASA RD
Mailing Address - Street 2:
Mailing Address - City:IRON RIVER
Mailing Address - State:MI
Mailing Address - Zip Code:49935-8625
Mailing Address - Country:US
Mailing Address - Phone:906-284-2351
Mailing Address - Fax:
Practice Address - Street 1:202 BATES AMASA RD
Practice Address - Street 2:
Practice Address - City:IRON RIVER
Practice Address - State:MI
Practice Address - Zip Code:49935-8625
Practice Address - Country:US
Practice Address - Phone:906-284-2351
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-07-23
Last Update Date:2024-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704150570363L00000X, 363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI18515556344Medicaid
MI50008720180OtherBCBS MI
N87160019Medicare PIN