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Jordan Lill

NPI 1215300843 · on the registry since 2015

Practice

Address
3401 45th St S
Fargo, ND 58104
Phone
(701) 356-4384
Clinicians at this address
78

Registry record

Primary taxonomy
103K00000X
103K00000X
Also registered as
101YM0800X
103K00000X
Licence states on file
NE, MN, ND
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-04-14

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in North Dakota