Individual
JACOB HERSHEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
MSC10 5550 1 UNIVERSITY OF NEW MEXICO, ALBUQUERQUE, NM 87131-2545
(505) 272-4661
(505) 272-0475
Mailing address
MSC10 5550 1 UNIVERSITY OF NEW MEXICO, ALBUQUERQUE, NM 87131-0001
(505) 272-4661
(505) 272-0475
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
DR.0070986
CO
208M00000X
Hospitalist Physician
DR.0070986
CO
390200000X
Student in an Organized Health Care Education/Training Program
Primary
MD2025-0713
NM
390200000X
Student in an Organized Health Care Education/Training Program
—
NM
Other
Enumeration date
04/15/2020
Last updated
07/02/2025
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