Individual
JESSICA R PROCHNOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RNFA
Contact information
Practice address
8300 CONSTITUTION AVE NE, ALBUQUERQUE, NM 87110-7613
(214) 227-2457
(214) 764-0880
Mailing address
PO BOX 56785, ALBUQUERQUE, NM 87187-6785
(214) 227-2457
(214) 764-0880
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
71020
NM
Other
Enumeration date
05/16/2008
Last updated
06/16/2022
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