Individual
JENNIFER CLYSDALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, CNP, PMHNP-BC
Contact information
Practice address
7850 JEFFERSON ST NE STE 300, ALBUQUERQUE, NM 87109-4314
(505) 884-1114
(505) 359-3010
Mailing address
7850 JEFFERSON ST NE STE 300, ALBUQUERQUE, NM 87109-4314
(505) 884-1114
(505) 359-3010
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
58064
NM
Other
Enumeration date
01/23/2024
Last updated
01/23/2024
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