JILL SUZANNE CODA

WELLSPAN MEDICAL GROUP

Dr JILL SUZANNE CODA is a female medical professional, specializing in Nurse Practitioner. She graduated in 2018.

Contact

WELLSPAN MEDICAL GROUP

4910 FAIRFIELD RD
SUITE A
FAIRFIELD
PA
173209510

Tel: 7173393175

JILL SUZANNE CODA Information

Npi 1093286601
Pac Id 4789921669
Professional Enrollment Id I20190131000077
Last Name CODA
First Name JILL
Middle Name SUZANNE
Suffix
Gender F
Credential
Medical School Name OTHER
Graduation Year 2018
Primary Specialty NURSE PRACTITIONER
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name WELLSPAN MEDICAL GROUP
Group Practice Pac Id 1951213115
Number Of Group Practice Members 1024
Line 1 Street Address 4910 FAIRFIELD RD
Line 2 Street Address SUITE A
Marker Of Address Line 2 Suppression
City FAIRFIELD
State PA
Zip Code 173209510
Phone Number 7173393175
Hospital Affiliation Ccn 1 390065
Hospital Affiliation Lbn 1 GETTYSBURG HOSPITAL
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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