MUSICK'S MEDICAL PLLC NPI 1346854676

NPI Information

  • NPI: 1346854676
  • Provider Name: MUSICK'S MEDICAL PLLC
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Organization
  • CLIA Number: 03D2193887
  • Address: 1111 RIATA VALLEY ROAD STE B
    KINGMAN, AZ
    ZIP 86409
  • Phone: (928) 681-0101

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NPI Details

MUSICK'S MEDICAL PLLC is a family nurse practitioner in Kingman, AZ. MUSICK'S MEDICAL PLLC NPI is 1346854676. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1111 RIATA VALLEY ROAD STE B
KINGMAN, AZ
ZIP 86409-678
Phone: (928) 681-0101
Fax: (833) 989-2165

The provider's authorized official is Jillian Marie Musick .
The authorized official title is Owner/fnp-c and has the following contact phone number (928) 681-0101.

The CLIA number assigned to this NPI record is 03D2193887 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/3/2020 and was last updated on 12/2/2020.

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
1363LF0000XNurse PractitionerFamilyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
103D2193887OTHERARIZONACLIA

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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