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JILL ELIZABETH ZIOLKOWSKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APNP

Contact information

Practice address
1397 S LOOP RD, PAHRUMP, NV 89048-4729
(775) 727-5500
(775) 727-5696
Mailing address
6355 S BUFFALO DR FL 3, LAS VEGAS, NV 89113-2133
(702) 216-3346
(702) 671-6883

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
140429030
WI
363L00000X
Nurse Practitioner
3396033
WI
363LA2200X
Adult Health Nurse Practitioner
Primary
832216
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1124217963
NV
01
450030810
MEDICARE PTAN
WI
01
711290206
MEDICARE PTAN
WI
01
832216
STATE LICENSE
NV
Enumeration date
10/17/2007
Last updated
11/15/2022
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