Individual
JESSICA WOMACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C, RN, MSN
Contact information
Practice address
4321 MALAGA ST, LAS CRUCES, NM 88011-4341
(806) 224-6422
Mailing address
4321 MALAGA ST, LAS CRUCES, NM 88011-4341
(806) 224-6422
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP82769
NM
Other
Enumeration date
12/27/2019
Last updated
11/13/2025
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