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Contact Information

JILL M ROOT, CNP
801 BROADWAY N
FARGO, ND58102
 Phone: 320-234-2000
 Fax: 320-685-4020
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Family

363LF0000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for JILL M ROOT · (Female)

NPI # 1134382591
Status Active
Credentials CNP (Certified Nurse Practitioner)
Entity Individual
Enumeration date 07/07/2008
Last updated 07/05/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • MN License # 2008004407
  • ND License # R45818
  • MN Medicaid 221637000
Hospital affiliation(s)
  • PAYNESVILLE AREA HOSPITAL - (Critical Access)
    200 1ST STREET WEST
    PAYNESVILLE, MN 56362
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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