Individual
KRISTEN JEFFCOAT-KNAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, MSN, CPNP
Contact information
Practice address
1521 W 13TH ST, CLOVIS, NM 88101-5568
(575) 769-0888
(575) 763-9154
Mailing address
912 W 21ST ST, CLOVIS, NM 88101-4154
(575) 935-9000
(575) 935-1002
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
GP-01143
NM
363LP0200X
Pediatric Nurse Practitioner
Primary
CNP02288
NM
Other
Enumeration date
11/07/2013
Last updated
09/03/2021
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