Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JONATHAN REDD
ActiveJONATHAN REDD is a Family Nurse Practitioner healthcare provider located in PORTALES, New Mexico. NPI 1366918963 is currently active in the NPPES registry. Verify at CMS.
Family Nurse Practitioner · PORTALES, NM
Registration Details
- NPI Number
- 1366918963
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 22, 2018 (7.8019408963364 yrs)
- Last Updated
- Oct 22, 2018
- License
-
53956 (NM)
Practice Information
- Address
-
1515 W FIR STPORTALES, NM, 881305703Browse NM providers · Browse ZIP 88130
- Phone
- 5753566695
- Fax
- 5753565948
- Primary Specialty
-
Family Nurse Practitioner
363LF0000X
Other Family Nurse Practitioner Providers in PORTALES, NM
| Name | Credential | NPI |
|---|---|---|
| MARTHA SLEMP THORSEN | CNP | 1952392615 |
| MRS. JOHANNA CHRISTINE PETTREY | FNP-BC | 1265413447 |
| SYLVIA ANNE RIFE | FNP | 1245292242 |
| MRS. LAURA L LOWREY | NP | 1720033004 |
| TERESA CLAIRE EVAN | — | 1124422597 |
| JAMIE BASSELL | CNP | 1841736915 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.