Basic Information
| Provider Information | |||||||||
| NPI: | 1730523671 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | FRITCH | ||||||||
| FirstName: | BILLIE | ||||||||
| MiddleName: | JO | ||||||||
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| Credential: | FNP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1600 A ST NE STE 9 | ||||||||
| Address2: | |||||||||
| City: | LINTON | ||||||||
| State: | IN | ||||||||
| PostalCode: | 474411612 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8126994153 | ||||||||
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| Practice Location | |||||||||
| Address1: | 714 W MAIN ST | ||||||||
| Address2: | |||||||||
| City: | JASONVILLE | ||||||||
| State: | IN | ||||||||
| PostalCode: | 474381323 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8126659000 | ||||||||
| FaxNumber: | 8126659009 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/22/2013 | ||||||||
| LastUpdateDate: | 04/17/2019 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LF0000X | 28123177 | IN | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Family |
No ID Information.