Individual provider · Type 1 NPI
Jacqueline Eva Willis, NURSE PRACTITIONER
Psychiatric/Mental Health Nurse Practitioner · Rio Rancho, NM
NPI number
1073908281
Active
Practice location
4011 Barbara Loop SE Ste 203
Rio Rancho, NM 87124-1041
Fax (505) 891-1495
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | CNP02617 (NM) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1073908281
Jacqueline Eva Willis, NURSE PRACTITIONER's National Provider Identifier is 1073908281, issued on Apr 3, 2015. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Rio Rancho, NM. The record was last updated on Aug 25, 2026.