Jill Anderson, RN

Individual provider Active NPI Registered Nurse · McKeesport, PA

NPI 1821531450 · NPPES record last updated Nov 30, 2016

Key facts

NPI
1821531450
Entity type
Individual (NPI type 1)
Primary specialty
Registered Nurse 163W00000X
License
RN322036L (PA)
Practice address
1305 Fifth Ave
McKeesport, PA 15132-2424
Phone
(412) 664-1448
Fax
(412) 664-5078
NPI assigned
Nov 30, 2016
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN322036LPAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Roger Zioncheck MD,PC Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN322036L PA Yes

Addresses

Primary practice location

1305 Fifth Ave
McKeesport, PA 15132-2424

Mailing address

1305 Fifth Ave
McKeesport, PA 15132-2424
Phone (412) 664-1448

Other providers in McKeesport, PA

All providers in McKeesport, PA · Registered Nurse in Pennsylvania

Sources for this page

Verify at the official NPI Registry.