Jill N. Cottrill
Individual provider Active NPI Home Health Registered Nurse · Gassaway, WV
NPI 1306553979 · NPPES record last updated Nov 2, 2022
Key facts
- NPI
- 1306553979
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Home Health Registered Nurse 163WH0200X
- License
- 32923 (WV)
- Practice address
- 64 State St
Gassaway, WV 26624-1132 - Phone
- (304) 364-1063
- NPI assigned
- Nov 2, 2022
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 32923 | WV | MD | Home Health Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Registered Nurse | 163WH0200X | 32923 | WV | Yes |
Addresses
Primary practice location
64 State St
Gassaway, WV 26624-1132
Mailing address
64 State St
Gassaway, WV 26624-1132
Phone (304) 364-1063
Other providers in Gassaway, WV
- Brittany Lynn Clark
- Clarksburg Vamc
- Community Care of West Virginia, Inc.
- Misty Dawn Connnor
- Michele Cottrell
- Joshua Conan Culver
- Jennifer Cummings
- Amellia Cutlip
- Eric S. Cutlip
- Sheyanne Helen Dahlberg
All providers in Gassaway, WV · Home Health Registered Nurse in West Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 2, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.