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Jacqueline Willis, NURSE PRACTITIONER

NPI 1073908281 · on the registry since 2015 · sole proprietor

Practice

Address
4011 Barbara Loop Se Ste 203
Rio Rancho, NM 87124
Phone
(505) 994-4503
Fax
(505) 891-1495
Organisation at this address
Svelte Llc
Kgh Services Llc
R. Denise Clay Llc
Positive Potential Nm
Elizabeth Penland Phd
Inferred from a shared address, not stated in the registry.
Clinicians at this address
27

Registry record

Primary taxonomy
Psychiatric/Mental Health Nurse Practitioner
363LP0808X
Licence states on file
NM
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-08-25

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Mexico