Individual
JIMMIE K HAUSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
4351 E LOHMAN AVE STE 100, LAS CRUCES, NM 88011-8258
(575) 521-8860
(575) 522-5664
Mailing address
4351 E LOHMAN AVE STE 100, LAS CRUCES, NM 88011-8258
(575) 521-8860
(575) 522-5664
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
CNP00778
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
59836521
—
NM
Enumeration date
08/30/2006
Last updated
09/09/2020
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