Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JILL CHRISTINE SIDANGE, PMHNP-BC
Active Sole ProprietorJILL CHRISTINE SIDANGE, PMHNP-BC is a Nurse Practitioner healthcare provider located in POTTERVILLE, Michigan. NPI 1588060750 is currently active in the NPPES registry. Verify at CMS.
Nurse Practitioner · POTTERVILLE, MI
Registration Details
- NPI Number
- 1588060750
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 14, 2014 (11.569810964081 yrs)
- Last Updated
- May 26, 2021
- License
-
4704265752 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
118 ELIZABETH WAY # 4POTTERVILLE, MI, 488769545Browse MI providers · Browse ZIP 48876
- Phone
- 5175052749
- Primary Specialty
-
Nurse Practitioner
363L00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.