Individual
JODIE LYNN BOOKOUT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1100 S NICKEL ST, DEMING, NM 88030-6301
(575) 546-2678
(575) 544-0918
Mailing address
1100 S NICKEL ST, DEMING, NM 88030-6301
(575) 546-2678
(575) 544-0918
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R57019
NM
163WS0200X
School Registered Nurse
Primary
345592
NM
Other
Enumeration date
03/24/2017
Last updated
03/24/2017
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