Provider Demographics
NPI:1639979453
Name:CARBAUGH, JILL ALISON (FNP-C)
Entity type:Individual
Prefix:
First Name:JILL
Middle Name:ALISON
Last Name:CARBAUGH
Suffix:
Gender:
Credentials:FNP-C
Other - Prefix:
Other - First Name:JILL
Other - Middle Name:ALISON
Other - Last Name:HORST-CARBAUGH
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:6140 SCARLET OAK DR
Mailing Address - Street 2:
Mailing Address - City:MERCERSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17236-8570
Mailing Address - Country:US
Mailing Address - Phone:240-313-5826
Mailing Address - Fax:
Practice Address - Street 1:354 MILL ST
Practice Address - Street 2:
Practice Address - City:HAGERSTOWN
Practice Address - State:MD
Practice Address - Zip Code:21740-6138
Practice Address - Country:US
Practice Address - Phone:301-797-0210
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-19
Last Update Date:2025-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDF03250201363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily