Individual
MRS. MARGARETHA KATHARINA JENNESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
801 TENTH STREET, MAGDALENA, NM 87825
(575) 835-5094
(575) 835-5097
Mailing address
PO BOX 366, MAGDALENA, NM 87825-0366
(575) 854-3410
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R44314
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
92023
—
NM
Enumeration date
07/07/2006
Last updated
03/07/2023
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