MUSICK'S MEDICAL PLLC NPI 1346854676

NPI Information

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:

Other Identifiers

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

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