| Jennifer Lopez, FNP-C | |
|
407 S Schwartz Ave Ste 101, Farmington, NM 87401-5925 | |
| (505) 609-6595 | |
| (505) 599-4633 |
| Full Name | Jennifer Lopez |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 407 S Schwartz Ave Ste 101, Farmington, 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 |
|---|---|---|---|
| 1649052143 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 76370 (New Mexico) | Primary |
| Entity Name | San Juan Regional Medical Center, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639662901 PECOS PAC ID: 4587559505 Enrollment ID: O20040218000865 |
| Entity Name | Molina Care Connections Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407243223 PECOS PAC ID: 5799062881 Enrollment ID: O20171212002486 |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Lopez, FNP-C 19 Road 5251, Bloomfield, NM 87413-9720 Ph: (970) 749-9227 | Jennifer Lopez, FNP-C 407 S Schwartz Ave Ste 101, Farmington, NM 87401-5925 Ph: (505) 609-6595 |
Erin Tinker, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 407 S Schwartz Ave Ste 102, Farmington, NM 87401 Phone: 505-609-6700 Fax: 505-609-6700 | |
Jennifer Lizabeth Manganello, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 407 S Schwartz Ave, Suite 101, Farmington, NM 87401 Phone: 505-609-6770 Fax: 505-609-6775 | |
Anariza Grush, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1001 W Broadway, Farmington, NM 87401 Phone: 505-327-4796 | |
Bethany Lynn Jones, AGPNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1001 W Broadway, Farmington, NM 87401 Phone: 505-327-4796 Fax: 505-599-9351 | |
Shailah Bevan, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1001 W Broadway Ste D&e, Farmington, NM 87401 Phone: 505-327-4796 Fax: 505-443-8335 | |
Jovite A Larroy, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1001 W Broadway Ste E, Farmington, NM 87401 Phone: 505-327-4796 | |
Clay Church, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 801 W Maple St, Farmington, NM 87401 Phone: 505-609-2000 |