JELISA VICK

ALBUQUERQUE, NM
NPI1548645021
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LA2100X Nurse Practitioner, Acute Care
(Licence: NM  CNP-02725)
Additional Taxonomies363LA2100X Nurse Practitioner, Acute Care
(Licence: AZ  AP8668)
Enumeration Date2015-07-24
Last Update Date2023-08-22
Business Address
JELISA VICK AG-ACNP
2211 LOMAS BLVD NE TRAUMA/SURGICAL INTENSIVE CARE UNIT
ALBUQUERQUE, NM 87106
Phone number: 505-272-2721
Mailing Address
JELISA VICK AG-ACNP
PO BOX 967
FLAGSTAFF, AZ 86002-0967
Phone number: 928-773-0003
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