Individual
MRS. JILLIAN MARIE MUSICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1111 RIATA VALLEY RD STE B, KINGMAN, AZ 86409-3678
(286) 925-5249
(928) 681-3977
Mailing address
1111 RIATA VALLEY RD STE B, KINGMAN, AZ 86409-3678
(928) 681-0101
(833) 989-2165
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
RN153255
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03D2193887
CLIA
AZ
05
—
460555
—
AZ
Enumeration date
07/06/2017
Last updated
02/02/2021
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