Individual provider · Type 1 NPI

Jennifer Nicole Lilly

Student in an Organized Health Care Education/Training Program · El Cajon, CA

NPI number 1669080065 Active

Practice location

1664 Broadway
El Cajon, CA 92021-5201

Call (619) 579-8685 Map

Other practice locations

  • 8609 Lake Murray Blvd Unit 8, San Diego, CA 92119-2841 · (619) 772-2294

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1669080065

Jennifer Nicole Lilly's National Provider Identifier is 1669080065, issued on Jul 21, 2020. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in El Cajon, CA. The record was last updated on Aug 6, 2020.