Organization
JINA VICK, CNP, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JINA R VICK CNP (PRESIDENT)
(505) 461-4464
Entity
Organization
Contact information
Practice address
303 E WASHINGTON AVE, TUCUMCARI, NM 88401-3873
(505) 461-4464
(505) 461-4474
Mailing address
303 E WASHINGTON AVE, TUCUMCARI, NM 88401-3873
(505) 461-4464
(505) 461-4474
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R14987
NM
Other
Enumeration date
10/09/2007
Last updated
10/09/2007
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