Individual
JENNIFER LYNN MATHERLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
4351 E LOHMAN AVE STE 401, LAS CRUCES, NM 88011-8261
(575) 522-4767
(575) 522-3607
Mailing address
4351 E LOHMAN AVE STE 401, LAS CRUCES, NM 88011-8261
(575) 522-4767
(575) 522-3607
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
663
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42876826
—
NM
Enumeration date
08/01/2013
Last updated
09/08/2020
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