Willis, Jacqueline Eva

Willis, Jacqueline Eva is an sole proprietor health care provider with primary practice located at 4101 Barbara Loop Se Suite D, Rio Rancho NM 87124-1009. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Willis, Jacqueline Eva can be contacted via phone (505) 892-6348.

Contact Information

Primary practice address
4101 Barbara Loop Se Suite D Rio Rancho NM 87124-1009
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X CNP02617 New Mexico

Profile Details

NPI number 1073908281
LBN Legal business name Willis, Jacqueline Eva
Credentials NURSE PRACTITIONER
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 3rd, 2015
Last updated Apr 3rd, 2015 - about 9 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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