Individual
JESSLYN AUSTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6 CALLE MEDICO, SANTA FE, NM 87505-4761
(505) 715-4610
Mailing address
PO BOX 94508, ALBUQUERQUE, NM 87199-4508
(505) 715-4610
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
RN-89995
NM
Other
Enumeration date
08/10/2024
Last updated
08/10/2024
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