Jill Jocelyn Christie, C.F.N.P

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R 119316-5 Issued in MN

Practice address

1272 Walnut St
Dawson, MN 56232-2333

Phone

(320) 769-4393

Fax

(320) 769-2972

NPI assigned

Jul 10, 2006

Last updated

Jul 9, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1790719144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1272 WALNUT ST",
            "city": "DAWSON",
            "state": "MN",
            "postal_code": "562322333",
            "telephone_number": "320-769-4393",
            "fax_number": "320-769-2972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1272 WALNUT ST",
            "city": "DAWSON",
            "state": "MN",
            "postal_code": "562322333",
            "telephone_number": "320-769-4393",
            "fax_number": "320-769-2972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRISTIE",
        "first_name": "JILL",
        "middle_name": "JOCELYN",
        "credential": "C.F.N.P",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-10",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MN",
            "license": "R 119316-5",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Avera Marshall (Avera Eye Care Dawson)
• Lisa D Bojado, NP
• Mary Ann Bothun, RN
• Brown Clinic PLLP
• Utpal U Chakravorty, MD
• Erica Clark
• Dawson Drug PLLC
• Dawson Drug PLLC
• Divine House II Inc.
• Krystle Marie Drietz, CNP, PMHNP

• Family Nurse Practitioner in Dawson, MN
• Providers in Dawson, MN by specialty
• Family Nurse Practitioner in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.