Individual
JESSICA KYER STELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
400 WASHINGTON AVE, GRANTS, NM 87020-2739
(050) 285-2726
Mailing address
PO BOX 8, GRANTS, NM 87020-0008
(505) 285-2726
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
76934
NM
Other
Enumeration date
01/25/2024
Last updated
01/25/2024
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