Individual
MRS. JILL M MARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, APN
Contact information
Practice address
13123 E 16TH AVE, AURORA, CO 80045-7106
(720) 777-1234
Mailing address
PO BOX 876, AURORA, CO 80040-0876
(303) 493-7000
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN-201694
CO
363LP0200X
Pediatric Nurse Practitioner
209007065
IL
363LP0200X
Pediatric Nurse Practitioner
Primary
NP-990223
CO
Other
Enumeration date
05/27/2008
Last updated
10/27/2011
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