Dr Jessica Caroline Thienes, DNP, APRN, CNM | |
516 E Nizhoni Blvd, Gallup, NM 87301-5748 | |
(505) 722-1000 | |
Not Available |
Full Name | Dr Jessica Caroline Thienes |
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Gender | Female |
Speciality | Advanced Practice Midwife |
Location | 516 E Nizhoni Blvd, Gallup, New Mexico |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1912482118 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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367A00000X | Advanced Practice Midwife | 383 (Minnesota) | Primary |
Entity Name | Dhhs,phs,naihs, Gallup Indian Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1225002322 PECOS PAC ID: 3173436409 Enrollment ID: O20031111000840 |
Mailing Address | Practice Location Address |
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Dr Jessica Caroline Thienes, DNP, APRN, CNM 2124 Como Ave Apt 104, Saint Paul, MN 55108-1830 Ph: () - | Dr Jessica Caroline Thienes, DNP, APRN, CNM 516 E Nizhoni Blvd, Gallup, NM 87301-5748 Ph: (505) 722-1000 |
Becky Lynn Anton, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 516 E. Nizhoni Blvd, Gallup, NM 87301 Phone: 505-722-1000 | |
Adrienne Machelle Christner, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 516 E Nizhoni Blvd, Gallup, NM 87301 Phone: 505-722-1000 | |
Linda Van Asselt-king, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 1900 Redrock Dr, Rehoboth Mckinley Christian Health Care Services, Gallup, NM 87301 Phone: 505-863-7200 | |
Melissa Penn, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 516 E Nizhoni Blvd, Gallup, NM 87301 Phone: 505-722-1000 | |
Kizzie Ricks, MSN, CNM, ARNP Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 516 E Nizhoni Blvd, Gallup, NM 87301 Phone: 505-722-1000 Fax: 505-722-1771 | |
Mary M. Forlines, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 1900 Redrock Dr, Rehoboth Mckinley Christian Health Care Services, Gallup, NM 87301 Phone: 505-863-7200 | |
Sarah N Hajjaji, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 516 E Nizhoni Blvd, Gallup, NM 87301 Phone: 505-722-1000 |