person
Jonathan Redd
Family Nurse Practitioner in Portales, New Mexico
NPI 1366918963

Jonathan Redd is a Family Nurse Practitioner based in Portales, NM and is specialized in Family. Jonathan Redd practices in Portales, NM. The NPI Number for Jonathan Redd is 1366918963 and holds a License No. 53956 (New Mexico).

The current practice location address for Jonathan Redd is 1515 W Fir St, Portales, NM and can be reached out via phone at 575-356-6695 and via fax at 575-356-5948. You can also correspond with Jonathan Redd through the mailing address at PO BOX 843, PORTALES, NM - 88130-0843 (mailing address contact number: 575-356-6695).

Location: 1515 W Fir St, Portales, NM, 88130-0843
person
Provider Profile Details
NPI Number
1366918963
Provider Name
Jonathan Redd
Credential
Provider Entity Type
Individual
Gender
Male
Address
1515 W Fir St, Portales, NM, 88130-0843
Phone Number
575-356-6695
Fax Number
575-356-5948
Provider Enumeration Date
10/22/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1515 W Fir St
City
State
Zip
88130-5703
Phone Number
575-356-6695
Fax Number
575-356-5948
person
Provider Business Mailing Address Details
Address
1515 W Fir St
City
State
Zip
88130-5703
Phone Number
575-356-6695
Fax Number
575-356-5948
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
53956 (New Mexico)
Definition
Definition to come...
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