Provider Demographics
NPI:1659924496
Name:PITZ, JILL LOUISE (APRN, FNP-BC)
Entity type:Individual
Prefix:
First Name:JILL
Middle Name:LOUISE
Last Name:PITZ
Suffix:
Gender:F
Credentials:APRN, FNP-BC
Other - Prefix:
Other - First Name:JILL
Other - Middle Name:LOUISE
Other - Last Name:POMERENKE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1200 S 7TH AVE
Mailing Address - Street 2:
Mailing Address - City:SIOUX FALLS
Mailing Address - State:SD
Mailing Address - Zip Code:57105-0900
Mailing Address - Country:US
Mailing Address - Phone:605-504-5400
Mailing Address - Fax:
Practice Address - Street 1:1600 S HIGHLINE AVE
Practice Address - Street 2:
Practice Address - City:SIOUX FALLS
Practice Address - State:SD
Practice Address - Zip Code:57110-1007
Practice Address - Country:US
Practice Address - Phone:605-322-2945
Practice Address - Fax:605-322-2926
Is Sole Proprietor?:No
Enumeration Date:2019-07-22
Last Update Date:2025-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SDCP001614363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily