Basic Information
| Provider Information | |||||||||
| NPI: | 1730141946 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | PAGENKOPF | ||||||||
| FirstName: | JILL | ||||||||
| MiddleName: | E | ||||||||
| NamePrefix: | |||||||||
| NameSuffix: | |||||||||
| Credential: | NNP | ||||||||
| OtherOrganizationName: | |||||||||
| OtherOrganizationType: | |||||||||
| OtherLastName: | PITTS | ||||||||
| OtherFirstName: | JILL | ||||||||
| OtherMiddleName: | E | ||||||||
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| OtherCredential: | NNP | ||||||||
| OtherLastNameType: | 1 | ||||||||
| Mailing Information | |||||||||
| Address1: | 14620 BISCAYNE WAY W | ||||||||
| Address2: | |||||||||
| City: | ROSEMOUNT | ||||||||
| State: | MN | ||||||||
| PostalCode: | 550683138 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6514235386 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 1655 BEAM AVE | ||||||||
| Address2: | SUITE 302 | ||||||||
| City: | MAPLEWOOD | ||||||||
| State: | MN | ||||||||
| PostalCode: | 551091163 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6512327831 | ||||||||
| FaxNumber: | 6512327826 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/04/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| NPIReactivationDate: | |||||||||
| ProviderGenderCode: | F | ||||||||
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| AuthorizedOfficialMiddleName: | |||||||||
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| IsSoleProprietor: | X | ||||||||
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| NPICertificationDate: | |||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LN0000X | R095696-3 | MN | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Neonatal |
No ID Information.