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Individual

MS. JILL KRISTINE DOWELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
1363 W SPRUCE AVE, WASILLA, AK 99654-5327
(907) 376-2411
(907) 352-3373
Mailing address
1363 W SPRUCE AVE, WASILLA, AK 99654-5327
(907) 376-2411
(907) 352-3373

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1270
AK
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
AP30006203
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1270
ANP
AK
01
33608
RN
AK
05
9635277
WA
01
AP30006203
ARNP
WA
01
RN00122578
REGISTERED NURSE
WA
Enumeration date
11/16/2006
Last updated
03/07/2023
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