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Contact Information

JILL MORTENSEN, DO
1203 N HIGH ST
SUITE A
MILLVILLE, NJ08332-2530
 Phone: 856-327-0182
 Fax: 856-327-7381
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatric Medicine

207QG0300X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for JILL MORTENSEN · (Female)

NPI Number 1609816511
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 06/08/2006
Last updated 08/06/2014 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • NJ License # MB46459
  • NJ Medicaid 3853900
Hospital affiliation(s)
  • SOUTH JERSEY HEALTHCARE REGIONAL MEDICAL CENTER - (Acute Care)
    1505 W SHERMAN AVE
    VINELAND, NJ 08360
  • SOUTH JERSEY HEALTHCARE-ELMER HOSPITAL - (Acute Care)
    501 WEST FRONT STREET
    ELMER, NJ 08318
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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