Organization
MUSICK'S MEDICAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JILLIAN MARIE MUSICK FNP-C (OWNER/FNP-C)
(928) 681-0101
Entity
Organization
Contact information
Practice address
1111 RIATA VALLEY ROAD STE B, KINGMAN, AZ 86409-3678
(928) 681-0101
(833) 989-2165
Mailing address
1111 RIATA VALLEY ROAD STE B, KINGMAN, AZ 86409-3678
(928) 681-0101
(833) 989-2165
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03D2193887
CLIA
AZ
Enumeration date
09/03/2020
Last updated
12/02/2020
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