Individual
JENNIFER LEE CHURCHILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
7808 CALLE DE PLATA NE, ALBUQUERQUE, NM 87109-4863
(505) 321-6976
Mailing address
7808 CALLE DE PLATA NE, ALBUQUERQUE, NM 87109-4863
(505) 321-6976
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
62684
NM
Other
Enumeration date
02/12/2021
Last updated
02/12/2021
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