person
Jodi A. Dettman, CNP
Adult Health Nurse Practitioner in Edgewood, New Mexico
NPI 1720269178

Jodi A. Dettman is an Adult Health Nurse Practitioner based in Edgewood, NM and is specialized in Adult Health. Jodi A. Dettman practices in Edgewood, NM and has the professional credentials of CNP. The NPI Number for Jodi A. Dettman is 1720269178 and holds a License No. CNP01152 (New Mexico).

The current practice location address for Jodi A. Dettman is 104 Quail Trl Unit B, Edgewood, NM and can be reached out via phone at 505-208-0204.

Location: 104 Quail Trl Unit B, Edgewood, NM, 87015-7185
person
Provider Profile Details
NPI Number
1720269178
Provider Name
Jodi A. Dettman
Credential
CNP
Provider Entity Type
Individual
Gender
Female
Address
104 Quail Trl Unit B, Edgewood, NM, 87015-7185
Phone Number
505-208-0204
Fax Number
Provider Enumeration Date
11/14/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
104 Quail Trl Unit B
City
State
Zip
87015-7185
Phone Number
505-208-0204
Fax Number
person
Provider Business Mailing Address Details
Address
104 Quail Trl Unit B
City
State
Zip
87015-7185
Phone Number
505-208-0204
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
License No.
CNP01152 (New Mexico)
Definition
Definition to come...
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