Jill Gribbin, R.N.

Individual provider Active NPI Administrator Registered Nurse · Pine Bush, NY

NPI 1972872075 · NPPES record last updated Dec 19, 2011

Key facts

NPI
1972872075
Entity type
Individual (NPI type 1)
Primary specialty
Administrator Registered Nurse 163WA2000X
License
370072 (NY)
Practice address
118 Route 302
Pine Bush, NY 12566-7130
Phone
(845) 744-2031
Fax
(845) 744-4094
NPI assigned
Dec 19, 2011
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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
370072NYMDAdministrator Registered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Administrator Registered Nurse 163WA2000X 370072 NY Yes

Addresses

Primary practice location

118 Route 302
Pine Bush, NY 12566-7130

Mailing address

118 Route 302
Pine Bush, NY 12566-7130
Phone (845) 744-2031

Other providers in Pine Bush, NY

All providers in Pine Bush, NY · Administrator Registered Nurse in New York

Sources for this page

Verify at the official NPI Registry.