Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
AUDREY JESSUP, CNM
Active Sole ProprietorAdvanced Practice Midwife · LOS LUNAS, NM
Registration Details
- NPI Number
- 1780405035
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 21, 2024 (1.5036340972405 yrs)
- Last Updated
- Nov 13, 2024
- License
-
892 (NM)
- Sole Proprietor
- Yes
Practice Information
- Address
-
145 DON PASQUAL RD NWLOS LUNAS, NM, 870318841Browse NM providers · Browse ZIP 87031
- Phone
- 5058737400
- Primary Specialty
-
Advanced Practice Midwife
367A00000X
Other Advanced Practice Midwife Providers in LOS LUNAS, NM
| Name | Credential | NPI |
|---|---|---|
| MRS. JULIA ANN BLACK | CNM, RN | 1760054878 |
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.