JACQUELINE EVA WILLIS NURSE PRACTITIONER NPI 1073908281

NPI Information

  • NPI: 1073908281
  • Provider Name: JACQUELINE EVA WILLIS, NURSE PRACTITIONER
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • Address: 4101 BARBARA LOOP SE
    SUITE D
    RIO RANCHO, NM
    ZIP 87124
  • Phone: (505) 892-6348

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NPI Details

Jacqueline Eva Willis, NURSE PRACTITIONER is a psychiatric/mental health nurse practitioner in Rio Rancho, NM. Jacqueline Eva Willis, NURSE PRACTITIONER NPI is 1073908281. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4101 BARBARA LOOP SE
SUITE D
RIO RANCHO, NM
ZIP 87124-009
Phone: (505) 892-6348

The enumeration date for this NPI number is 4/3/2015 and was last updated on 4/3/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LP0808XNurse PractitionerPsychiatric/Mental HealthCNP02617NEW MEXICOYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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