Individual
JESSICA LEIGH CROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
105 E MAIN STREET, RED RIVER, NM 87558-0010
(575) 754-6330
(575) 754-7168
Mailing address
PO BOX 10, RED RIVER, NM 87558-0010
(575) 754-6330
(575) 222-1292
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
712751
TX
363LF0000X
Family Nurse Practitioner
Primary
CNP-01822
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39532054
—
NM
Enumeration date
01/31/2011
Last updated
07/14/2025
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