Provider Demographics
NPI:1851556344
Name:NOCERINI, JILL E (DNP)
Entity Type:Individual
Prefix:MRS
First Name:JILL
Middle Name:E
Last Name:NOCERINI
Suffix:
Gender:F
Credentials:DNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:417 WASHINGTON AVENUE
Mailing Address - Street 2:
Mailing Address - City:IRON RIVER
Mailing Address - State:MI
Mailing Address - Zip Code:49935
Mailing Address - Country:US
Mailing Address - Phone:906-265-9908
Mailing Address - Fax:906-265-5921
Practice Address - Street 1:417 WASHINGTON AVENUE
Practice Address - Street 2:IRON COUNTY INTERNAL MEDICINE ASSOCIATES, PC
Practice Address - City:IRON RIVER
Practice Address - State:MI
Practice Address - Zip Code:49935-2118
Practice Address - Country:US
Practice Address - Phone:906-265-9908
Practice Address - Fax:906-265-5921
Is Sole Proprietor?:No
Enumeration Date:2008-07-23
Last Update Date:2018-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704150570363LA2200X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI18515556344Medicaid
MI50008720180OtherBCBS MI
N87160019Medicare PIN