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NPI Code Detail

MEDICARE: JILL MARIE KING AGPCNP-BC

MEDICARE:   JILL MARIE KING  AGPCNP-BC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LA2200XAdult Health Nurse Practitioner0191029CO

General Provider Information

NPI Number : 1477408391
Entity Type Code : Individual
Provider Name (Legal Business Name) : JILL MARIE KING AGPCNP-BC
Provider Business Mailing Address
First Line : 5720 PLAINS END CT
Second Line :
City : CASTLE ROCK
State : CO
Zip : 80104-3482
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5720 PLAINS END CT
Second Line :
City : CASTLE ROCK
State : CO
Zip : 80104-3482
Country : US
Telephone Number : 303-915-9603
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/04/2026
Last Update Date : 03/04/2026

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Directions to “ JILL MARIE KING AGPCNP-BC” Practice Location

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