Tellez, Jill

Tellez, Jill is an individual health care provider with primary practice located at 2520 S Telshor Blvd , Las Cruces NM 88011-4907. She recently has only one registered license in Other Service Providers / Midwife, which is considered as her primary health care specialty. Tellez, Jill can be contacted via phone (575) 522-9793.

Contact Information

Primary practice address
2520 S Telshor Blvd Las Cruces NM 88011-4907
Fax: (575) 532-9019
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Midwife 176B00000X 561 New Mexico

Profile Details

NPI number 1538359971
LBN Legal business name Tellez, Jill
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 1st, 2007
Last updated Apr 11th, 2016 - about 8 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 1538359971 NPPES
New Mexico MEDICAID 70672768

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