Individual
JESSICA A CONKLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
407 S SCHWARTZ AVE, SUITE 102, FARMINGTON, NM 87401-5925
(505) 609-6700
(505) 609-6701
Mailing address
PO BOX 844088, DALLAS, TX 75284-4088
(505) 609-2258
(505) 609-2259
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
CNP-02954
NM
Other
Enumeration date
05/27/2016
Last updated
04/29/2025
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