Individual
JOY FUENTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
2301 N DR MARTIN LUTHER KING JR BLVD, CLOVIS, NM 88101-9401
(575) 762-4455
Mailing address
2121 WALLACE ST, CLOVIS, NM 88101-3629
(575) 799-9098
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
56739
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
46335854
—
NM
Enumeration date
06/28/2019
Last updated
02/02/2026
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