Individual
JESSE STUBBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2211 LOMAS BLVD NE, ALBUQUERQUE, NM 87106-2719
(505) 272-6487
Mailing address
411 TULANE DR. SE, ALBUQUERQUE, NM 87106
(505) 363-2271
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
CNP-03031
NM
Other
Enumeration date
09/01/2016
Last updated
07/14/2023
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