Clark, Jill

Clark, Jill is an sole proprietor health care provider with primary practice located at 6400 Uptown Blvd Ne Ste 360 , Albuquerque NM 87110-4202. She recently has only one registered license in Nursing Service Providers / School, which is considered as her primary health care specialty. Clark, Jill can be contacted via phone (505) 873-0220.

Contact Information

Primary practice address
6400 Uptown Blvd Ne Ste 360 Albuquerque NM 87110-4202
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / School 163WS0200X R60629 New Mexico

Profile Details

NPI number 1730802703
LBN Legal business name Clark, Jill
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 23rd, 2022
Last updated Sep 23rd, 2022 - about 2 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.

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