Individual
JODI K. PADGETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
622 W MAPLE ST STE B, FARMINGTON, NM 87401-6589
(505) 327-4867
(505) 327-5355
Mailing address
3751 N BUTLER AVE STE 115, FARMINGTON, NM 87401
(505) 324-1240
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R55878
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
84487259
—
NM
Enumeration date
04/03/2007
Last updated
10/22/2021
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