Individual
JACOB LINDSEY ONEIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSN FNP-BC
Contact information
Practice address
177 POPPY RD, ROSWELL, NM 88201-8805
(575) 420-0743
Mailing address
177 POPPY RD, ROSWELL, NM 88201-8805
(575) 420-0743
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
65742
NM
Other
Enumeration date
11/05/2021
Last updated
12/02/2021
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