Vick, Jelisa
Vick, Jelisa is an individual health care provider with primary practice located at 2211 Lomas Blvd Ne Trauma/Surgical Intensive Care Unit, Albuquerque NM 87106. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Vick, Jelisa can be contacted via phone (505) 272-2721.Contact Information
Primary practice address
2211 Lomas Blvd Ne Trauma/Surgical Intensive Care Unit
Albuquerque NM 87106
Phone: (505) 272-2721
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Acute Care | 363LA2100X | AP8668 | Arizona |
| Physician Assistants & Advanced Practice Nursing Providers / Acute Care | 363LA2100X | CNP-02725 | New Mexico |
Profile Details
| NPI number | 1548645021 |
|---|---|
| LBN Legal business name | Vick, Jelisa |
| Credentials | AG-ACNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 24th, 2015 |
| Last updated | Aug 22nd, 2023 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1548645021 | NPPES |
| Arizona | MEDICAID | 226889 |
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