Individual
JENNIFER DUVALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1209 UNIVERSITY BLVD NE, NE, ALBUQUERQUE, NM 87102-1727
(505) 272-4400
(505) 272-6308
Mailing address
933 BRADBURY DR SE, SUITE 2222, ALBUQUERQUE, NM 87106-4374
(505) 272-3120
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R65959
NM
363LF0000X
Family Nurse Practitioner
Primary
CNP01452
NM
Other
Enumeration date
09/15/2008
Last updated
03/22/2017
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