Doctor Name: | MRS. JILL M MARKS |
NPI Number: | 1003074105 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN, APN |
License Number: | 209007065 |
Business Practice Address: | 13123 E 16th Ave Aurora, CO - 800457106 |
Business Phone Number: | 7207771234 |
Business Fax Number: | |
Mailing Address: | Po Box 876, AURORA |
State: | CO |
Postal Code: | 800400876 |
Phone Number: | 3034937000 |
Fax Number: | |
NPI Enumeration Date: | 05/27/2008 |
NPI Last Update Date: | 10/27/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP0200X |
License Number: | 209007065 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | IL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Pediatrics |
Taxonomy Definition: |