Individual
JAYLEN GUTIERREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
2515 RIDGE RUNNER RD, LAS VEGAS, NM 87701-4972
(505) 434-0119
(877) 553-1272
Mailing address
117 CAMINO DE VIDA STE 300, SANTA ROSA, NM 88435-2267
(575) 472-4311
(877) 651-0289
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
57080
NM
363LF0000X
Family Nurse Practitioner
Primary
363LF00000X
NM
Other
Enumeration date
11/03/2025
Last updated
02/23/2026
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