Porter, Jennifer

Porter, Jennifer is an individual health care provider with primary practice located at 490A W Zia Rd , Santa Fe NM 87505-6996. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Porter, Jennifer can be contacted via phone (505) 913-8900.

Contact Information

Primary practice address
490A W Zia Rd Santa Fe NM 87505-6996
Phone: (505) 913-8900
Fax: (505) 913-8923
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X CNP-01564 New Mexico

Profile Details

NPI number 1922296656
LBN Legal business name Porter, Jennifer
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 9th, 2007
Last updated Jun 2nd, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922296656 NPPES
Indiana MEDICAID 200880420

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