Individual
MRS. JANE LYNN BOURGEOIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1057 LAS GOLONDRINAS CT NW, ALBUQUERQUE, NM 87107-5280
(505) 343-1235
Mailing address
1057 LAS GOLONDRINAS CT. NW, ALBUQUERQUE, NM 87107
(505) 343-1235
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R31111
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R31111
RN
NM
Enumeration date
01/28/2009
Last updated
01/28/2009
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