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JILLIAN RILEY MSN, NP-C

Nursing Service Providers Registered Nurse General Practice

Provider NPI: 1033589312

Provider Information:
 JILLIAN  RILEY MSN, NP-C
Gender: F
Not Sole Proprietor

Practice Location:
8369 TAMAR DRIVE APT 715 COLUMBIA, MD 21045-5897 US
Tel: 703-507-3880  Fax: --

Business Mailing Address:
8369 TAMAR DR APT 715 COLUMBIA, MD 21045-5729 US
Tel: 703-507-3880  Fax: --

NPI Information:
NPI: 1033589312
Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N163WG0000XNursing Service Providers
Registered Nurse
General Practice
VA0001214992
Y363LF0000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
MDAC001393

Other Provider Identifiers:

IssuerNumberStateType



American Medical Association 2012 taxonomy code information

Code: 363LF0000X

Type:

Classification:



Definition:



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