Jessica A Conklin, CNP | |
407 S Schwartz Ave, Suite 102, Farmington, NM 87401-5925 | |
(505) 609-6700 | |
(505) 609-6701 |
Full Name | Jessica A Conklin |
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Gender | Female |
Speciality | Nurse Practitioner - Pediatrics |
Location | 407 S Schwartz Ave, 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 |
---|---|---|---|
1275981557 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0200X | Nurse Practitioner - Pediatrics | RN-000 (New Mexico) | Primary |
Entity Name | San Juan Regional Medical Center, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1639662901 PECOS PAC ID: 4587559505 Enrollment ID: O20040218000865 |
Mailing Address | Practice Location Address |
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Jessica A Conklin, CNP Po Box 6210, Farmington, NM 87499-6210 Ph: (505) 609-2258 | Jessica A Conklin, CNP 407 S Schwartz Ave, Suite 102, Farmington, NM 87401-5925 Ph: (505) 609-6700 |
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 | |
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 | |
Ms. Mois A Johnson, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 203 W Main St, Farmington, NM 87401 Phone: 505-517-4181 Fax: 505-333-0444 |