Individual
JENNICA LINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
114 W 11TH ST, SILVER CITY, NM 88061-5136
(575) 388-1511
Mailing address
114 W 11TH ST, SILVER CITY, NM 88061-5136
(575) 542-3389
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN-87926
NM
363LF0000X
Family Nurse Practitioner
Primary
56879
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1730751208
—
NM
Enumeration date
07/03/2019
Last updated
04/29/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us