Individual
JESSICA SOUCY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
3080 BRELAND DR, LAS CRUCES, NM 88003
(575) 646-1512
(575) 646-6428
Mailing address
P.O. BOX 30001, MSC 3529, LAS CRUCES, NM 88003-8001
(575) 646-1512
(575) 646-6428
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CNP-02977
NM
Other
Enumeration date
09/23/2016
Last updated
11/12/2024
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