Marla D Jim, RN is a
Registered Nurse - Community Health based in Canoncito, New Mexico. Marla D Jim is licensed to practice in New Mexico (license number RN-69198) and her current practice location is
129 Medicine Horse Drive, Canoncito, New Mexico. She can be reached at her office (for appointments etc.) via phone at
(505) 908-2307.
NPI number for Marla D Jim is 1184864043 and her current mailing address is Po Box 3338, Tohajiilee, New Mexico. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1184864043.
Provider's Profile
Full Name | Marla D Jim |
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Gender | Female |
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Speciality | Registered Nurse - Community Health |
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Location | 129 Medicine Horse Drive, Canoncito, New Mexico |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1184864043
- Provider Enumeration Date: 03/04/2009
- Last Update Date: 03/21/2024
Medical Identifiers
Medical identifiers for Marla D Jim such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1184864043 | NPI | - | NPPES |
1194738328 | Other | | NPI |
30852081 | Medicaid | NM | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163WC1500X | Registered Nurse - Community Health | RN-69198 (New Mexico) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Marla D Jim is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Marla D Jim, RN Po Box 3338, Tohajiilee, NM 87026-3338 Ph: (505) 908-2307 | Marla D Jim, RN 129 Medicine Horse Drive, Canoncito, NM 87026 Ph: (505) 908-2307 |
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