Individual
JESSICA WOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1400 MAIN ST NW, LOS LUNAS, NM 87031-4812
(505) 916-0533
Mailing address
800 BRADBURY DR SE STE 116, ALBUQUERQUE, NM 87106-4310
(505) 272-1476
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
61867
NM
Other
Enumeration date
10/23/2020
Last updated
10/30/2024
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