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Individual
MRS. JILL MARIE BALIK
Active
Individual
MRS. JILL MARIE BALIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN-BC
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
19155
SC
363LA2200X
Adult Health Nurse Practitioner
APN 19155
SC
364SM0705X
Medical-Surgical Clinical Nurse Specialist
19155
SC
Other
Enumeration date
09/25/2014
Last updated
07/21/2022
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