Individual
JAMIE BASSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CNP
Contact information
Practice address
42121 US HIGHWAY 70, PORTALES, NM 88130-9054
(575) 356-6652
(575) 359-6827
Mailing address
P.O. BOX 299, PORTALES, NM 88130-9054
(575) 356-6652
(575) 359-6827
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CNP-03149
NM
Other
Enumeration date
01/13/2017
Last updated
03/21/2017
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