Provider Demographics
NPI:1114436128
Name:JILL FABIAN RN PLLC
Entity Type:Organization
Organization Name:JILL FABIAN RN PLLC
Other - Org Name:JPF NURSING SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:JILL
Authorized Official - Middle Name:
Authorized Official - Last Name:FABIAN
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:718-938-1508
Mailing Address - Street 1:3732 75TH ST STE 2
Mailing Address - Street 2:
Mailing Address - City:JACKSON HEIGHTS
Mailing Address - State:NY
Mailing Address - Zip Code:11372-6406
Mailing Address - Country:US
Mailing Address - Phone:718-938-1508
Mailing Address - Fax:646-224-9478
Practice Address - Street 1:3732 75TH ST STE 2
Practice Address - Street 2:
Practice Address - City:JACKSON HEIGHTS
Practice Address - State:NY
Practice Address - Zip Code:11372-6406
Practice Address - Country:US
Practice Address - Phone:718-938-1508
Practice Address - Fax:646-224-9478
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-09-21
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY364206-1251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health