person
Jennifer Michal Amezquita
Psychiatric/Mental Health Nurse Practitioner in Las Cruces, New Mexico
NPI 1861183386

Jennifer Michal Amezquita is a Psychiatric/Mental Health Nurse Practitioner based in Mesilla Park, NM and is specialized in Psychiatric/Mental Health. Jennifer Michal Amezquita practices in Las Cruces, NM. The NPI Number for Jennifer Michal Amezquita is 1861183386 and holds a License No. 76270 (New Mexico).

The current practice location address for Jennifer Michal Amezquita is 1100 S Main St Ste 11, Las Cruces, NM and can be reached out via phone at 915-345-9672.

Location: 1100 S Main St Ste 11, Las Cruces, NM, 88047-0130
person
Provider Profile Details
NPI Number
1861183386
Provider Name
Jennifer Michal Amezquita
Credential
Provider Entity Type
Individual
Gender
Female
Address
1100 S Main St Ste 11, Las Cruces, NM, 88047-0130
Phone Number
915-345-9672
Fax Number
Provider Enumeration Date
05/16/2023
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2023103244. 01 TX ANCC BOARD CERTIFICATION
1141317 01 TX PMHNP-BC TX LICENSE
76270 01 NM PMHNP-BC NM LICENSE
institution
Provider Business Practice Location Address Details
Address
1100 S Main St Ste 11
City
State
Zip
88005-2917
Phone Number
915-345-9672
Fax Number
person
Provider Business Mailing Address Details
Address
1100 S Main St Ste 11
City
State
Zip
88005-2917
Phone Number
915-345-9672
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
958463 (Texas)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
76270 (New Mexico)
Definition
Definition to come...
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