Individual
JESSICA MARIE MCCLUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
U
Credential
CNP
Contact information
Practice address
2400 UNSER BLVD SE, RIO RANCHO, NM 87124-3392
(505) 253-6100
Mailing address
1003 GRACE ST NE, ALBUQUERQUE, NM 87112-5607
(505) 400-5818
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
82098
NM
Other
Enumeration date
12/20/2024
Last updated
12/20/2024
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