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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JIMMY FLOYD ANDAZOLA, PA-C

Active

JIMMY FLOYD ANDAZOLA, PA-C is a Physician Assistant healthcare provider located in ALBUQUERQUE, New Mexico. NPI 1396148326 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · ALBUQUERQUE, NM

Registration Details

NPI Number
1396148326
Provider Type
Individual
Gender
Male
NPI Issued
Oct 5, 2014 (11.712519280882 yrs)
Last Updated
Dec 11, 2025
Licenses
PA2014-0051 (NM)
4505 (OK)
10494 (GA)
PA2014-0051 (NM)
3518 (SC)

Practice Information

Address
10571 VISTA BELLA PL NW
ALBUQUERQUE, NM, 871143875
Browse NM providers · Browse ZIP 87114
Phone
5052591133
Primary Specialty
Physician Assistant
363A00000X
Additional Specialty
Physician Assistant
Additional Specialty
Physician Assistant
Additional Specialty
Physician Assistant
Additional Specialty
Medical Physician Assistant

Other Physician Assistant Providers in ALBUQUERQUE, NM

Name Credential NPI
MIKAL ANN SMOKER PA-C 1164425260
MS. MARCIA STARNS PAC 1841291531
DALLAS R SHECKLER PA 1871586586
SHARI E FREYER PA C 1134113723
MICHAEL D BRENNAND PA-C 1013905140
MR. PETER DAVID PACHECO RPH., PA-C 1760471395
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.