Individual
MS. JACQUELINE HILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1 UNIVERSITY OF NEW MEXICO # 95030, ALBUQUERQUE, NM 87131-4318
(505) 350-6566
Mailing address
1 UNIVERSITY OF NEW MEXICO MSC09 5030, ALBUQUERQUE, NM 87131-0001
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
54057
NM
363LF0000X
Family Nurse Practitioner
AP139079
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
61335860
—
NM
Enumeration date
08/15/2018
Last updated
02/05/2024
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