Individual
DR. JESSIE MARIE SURLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, BC- FNP
Contact information
Practice address
350 W COUNTRY CLUB RD STE 201, ROSWELL, NM 88201-5221
(575) 624-4651
(575) 624-4875
Mailing address
350 W COUNTRY CLUB RD STE 201, ROSWELL, NM 88201-5221
(575) 624-4651
(575) 624-4875
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CNP-02365
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07276800
—
NM
Enumeration date
03/12/2014
Last updated
10/09/2025
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