JACQUELINE EVA WILLIS


Address: 4101 Barbara Loop Se, Suite D, Rio Rancho, NM 87124-1009
Phone: 5058926348

JACQUELINE EVA WILLIS (NPI# 1073908281) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1073908281
Entity Type Individual
Full Name JACQUELINE EVA WILLIS
Other Name MISS JACQUELINE EVA WILLIS
Credential NURSE PRACTITIONER
Practice Address 4101 Barbara Loop Se
Suite D
Rio Rancho
NM 87124-1009
Practice Telephone 5058926348
Mailing Telephone 5058926348
Enumeration Date 2015-04-03
Last Update Date 2015-04-03
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
CNP02617 NM Physician Assistants & Advanced Practice Nursing Providers

Other Providers JACQUELINE WILLIS

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Office Location

Street Address 4101 BARBARA LOOP SE
SUITE D
City RIO RANCHO
State NM
Zip Code 87124-1009

Providers in the same location

NPI Name Taxonomy Address Enumeration
1144297771 Janice Marion Penn Clinical Nurse Specialist 4101 Barbara Loop Se, Suite D, Rio Rancho, NM 87124-1009 2006-03-02
1760421168 Guidance Foundation Inc Clinic/Center 4101 Barbara Loop Se, Suite D, Rio Rancho, NM 87124-1009 2006-06-05

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1740895648 Dallon Knight Pharmacist 1115 Nm-528 Se, Rio Rancho, NM 87124 2020-09-09
1447875133 Paul D Phillip Counselor 1207 Golf Course Rd Ne, Suite C, Rio Rancho, NM 87124 2020-06-09
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1841840345 Debra English Technician 2001 Yucca St Se, Rio Rancho, NM 87124 2019-09-17
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1225507197 Speech and Language Possibilities, LLC Audiologist 273 Tigris Road Ne, Rio Rancho, NM 87124 2018-11-20
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1972094324 Calmar Inc. Durable Medical Equipment & Medical Supplies 2003 Southern Blvd Ne, Suite 123, Rio Rancho, NM 87124 2018-05-22
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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1417573338 Awareness Integration LLC Nurse Practitioner 2101 Golf Course Rd Se Ste D, Rio Rancho, NM 87124-1760 2020-06-17
1427572577 Mario Alberto Gutierrez Nurse Practitioner 1350 Jacke St. Se, Suite 104, Rio Rancho, NM 87124 2017-07-31
1659800894 Integrated Healthcare Nurse Practitioner 4101 Barbara Loop Se Ste C, Rio Rancho, NM 87124-1011 2017-06-10
1124665237 Denis Mbueha Muebake Nurse Practitioner 2300 Grande Blvd Se, Rio Rancho, NM 87124-1755 2019-12-09
1336648328 Desiree Renee Provencio Nurse Practitioner 184 Unser Blvd Ne, Rio Rancho, NM 87124-4045 2018-02-06
1093114290 Kimberley Durr Nurse Practitioner 2300 Grande Blvd Se, Rio Rancho, NM 87124-1755 2014-08-14
1003162736 Jimmy Maggay Calzado Nurse Practitioner 1350 Jackie Rd Se, Suite 104, Rio Rancho, NM 87124-1519 2012-07-31

Providers in the same taxonomy and state

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1477173896 Diane Johnston, Pmhnp, LLC Nurse Practitioner 1619 Villa Strada, Santa Fe, NM 87506-4512 2020-04-27
1245869130 Indigo Psychiatric Services Nurse Practitioner 609 Gold Ave Sw Ste 1-c, Albuquerque, NM 87102-3119 2020-04-03
1912534058 Meredith Gamez Nurse Practitioner 5503 Grove Dr, Sunland Park, NM 88063-9594 2020-03-26
1619516358 Permian Basin Brain Works Inc Nurse Practitioner 1601 N Turner St Ste 405, Hobbs, NM 88240-4331 2019-12-28
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1689237380 Bianca Lopez, LLC Nurse Practitioner 224 Anthony Dr, Anthony, NM 88021-9366 2019-04-17
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Competitor

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City RIO RANCHO
Zip Code 87124

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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