Jina Vick, Cnp, Pc in Tucumcari - Nurse Practitioner

Jina Vick, Cnp, Pc - NPI 1215125950

Jina Vick, Cnp, Pc is a Nurse Practitioner in Tucumcari, New Mexico. Jina Vick, Cnp, Pc practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Jina Vick, Cnp, Pc is 1215125950. The last update date is 2007-10-09.

Jina Vick, Cnp, Pc's current location address is 303 E Washington Ave, Tucumcari, New Mexico. You can contact this provider via phone number 5054614464 and fax number 5054614474. The mailing address for Jina Vick, Cnp, Pc is 303 E Washington Ave, Tucumcari, New Mexico. To know further, please read the information below!

Provider Profile Detail

Provider Organization Jina Vick, Cnp, Pc
Address 303 E Washington Ave, Tucumcari, New Mexico
Phone Number 5054614464
Fax Number 5054614474
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Vick R Jina
Credentials CNP
Telephone Number 5054614464

NPI Number Detail

NPI Number 1215125950
Provider Enumeration Date 2007-10-09
Last Updated Date 2007-10-09

Provider Mailing Address Detail

Address 303 E Washington Ave
City Tucumcari
State New Mexico (NM)
Post Code 884013873
Phone Number 5054614464
Fax Number 5054614474

Provider's Primary Taxonomy Detail

Speciality Nurse Practitioner
Taxonomy 363L00000X
Licence No R14987
Definition:
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi

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FAQs about Jina Vick, Cnp, Pc

What is the unique identification code assigned to Jina Vick, Cnp, Pc by the Centers for Medicare & Medicaid Services?

The Jina Vick, Cnp, Pc has been issued the NPI (National Provider Identifier) 1215125950. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Jina Vick, Cnp, Pc's facilities are situated?

The facilities of Jina Vick, Cnp, Pc are physically located at the following address: 303 E Washington Ave, Tucumcari, NM, 884013873.

What is Jina Vick, Cnp, Pc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Jina Vick, Cnp, Pc is Nurse Practitioner, and the taxonomy code that categorizes this field of expertise is 363L00000X.

On what date did the Jina Vick, Cnp, Pc receive the assignment of its 1215125950 from the Centers for Medicare & Medicaid Services?

The Jina Vick, Cnp, Pc was issued its 1215125950 by the Centers for Medicare & Medicaid Services on 2007-10-09.

As of what date were the details related to Jina Vick, Cnp, Pc most recently updated or revised?

The information pertaining to Jina Vick, Cnp, Pc, including its address, specialty, and other relevant details, was last updated or revised on 2007-10-09.

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