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
Phone: (505) 892-6348
Fax:
Website:
Health care specialties
| Specialty | Code | License # | 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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