Individual provider · Type 1 NPI

Jill Christine Sidange, PMHNP-BC

Nurse Practitioner · Potterville, MI

NPI number 1588060750 Active

Practice location

118 Elizabeth Way # 4
Potterville, MI 48876-9545

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X4704265752 (MI)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

About NPI 1588060750

Jill Christine Sidange, PMHNP-BC's National Provider Identifier is 1588060750, issued on Nov 14, 2014. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Potterville, MI. The record was last updated on May 26, 2021.