Musick, Jillian Marie
Musick, Jillian Marie is an individual health care provider with primary practice located at 1111 Riata Valley Rd Ste B , Kingman AZ 86409-3678. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Primary Care, which is considered as her primary health care specialty. Musick, Jillian Marie can be contacted via phone (286) 925-5249.Contact Information
Primary practice address
1111 Riata Valley Rd Ste B
Kingman AZ 86409-3678
Phone: (286) 925-5249
Fax: (928) 681-3977
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Primary Care | 363LP2300X | RN153255 | Arizona |
Profile Details
| NPI number | 1306367842 |
|---|---|
| LBN Legal business name | Musick, Jillian Marie |
| Credentials | FNP-C |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 6th, 2017 |
| Last updated | Feb 2nd, 2021 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1306367842 | NPPES |
| Arizona | MEDICAID | 460555 | |
| Arizona | Other | 03D2193887 |
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