Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JODI A. DETTMAN, CNP
ActiveJODI A. DETTMAN, CNP is a Adult Health Nurse Practitioner healthcare provider located in EDGEWOOD, New Mexico. NPI 1720269178 is currently active in the NPPES registry. Verify at CMS.
Adult Health Nurse Practitioner · EDGEWOOD, NM
Registration Details
- NPI Number
- 1720269178
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 14, 2007 (18.602712736489 yrs)
- Last Updated
- May 4, 2018
- License
-
CNP01152 (NM)
Practice Information
- Address
-
104 QUAIL TRL UNIT BEDGEWOOD, NM, 870157185Browse NM providers · Browse ZIP 87015
- Phone
- 5052080204
- Primary Specialty
-
Adult Health Nurse Practitioner
363LA2200X
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.