Individual
JENIFER ANN DEZIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
1 FOSTER LANE, RESERVE, NM 87830
(575) 277-9562
(575) 533-6313
Mailing address
829 N MANZANITA ST, LAS CRUCES, NM 88001-2248
(575) 277-9562
(575) 533-6313
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
57338
NM
363L00000X
Nurse Practitioner
Primary
A148340
IA
Other
Enumeration date
06/27/2013
Last updated
04/07/2026
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