Individual
MRS. JESSAMY KOURY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
1100 CENTRAL AVE SE, ALBUQUERQUE, NM 87106-7644
(505) 559-1000
(505) 724-8995
Mailing address
PO BOX 26666, PHS PROVIDER ENROLLMENT, ALBUQUERQUE, NM 87125-6666
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
83678
NM
Other
Enumeration date
04/18/2025
Last updated
06/03/2025
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