Provider Demographics
NPI:1770656894
Name:BIXBY, JILL (NP)
Entity Type:Individual
Prefix:
First Name:JILL
Middle Name:
Last Name:BIXBY
Suffix:
Gender:F
Credentials:NP
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Other - Credentials:
Mailing Address - Street 1:8580 MAGELLAN PKWY
Mailing Address - Street 2:BLDG IV, BON SECOURS PALLIATIVE CARE & HOSPICE SERVICES
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23227-1149
Mailing Address - Country:US
Mailing Address - Phone:804-627-5360
Mailing Address - Fax:804-627-5208
Practice Address - Street 1:8580 MAGELLAN PKWY
Practice Address - Street 2:BLDG IV, BON SECOURS PALLIATIVE CARE & HOSPICE SERVICES
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23227-1149
Practice Address - Country:US
Practice Address - Phone:804-627-5360
Practice Address - Fax:804-627-5208
Is Sole Proprietor?:No
Enumeration Date:2006-11-16
Last Update Date:2007-10-25
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Provider Licenses
StateLicense IDTaxonomies
MER021053363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner