| Jonathan Redd, | |
|
1515 W Fir St, Portales, NM 88130-5703 | |
| (575) 356-6695 | |
| (575) 356-5948 |
| Full Name | Jonathan Redd |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Family |
| Location | 1515 W Fir St, Portales, New Mexico |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366918963 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 53956 (New Mexico) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Jonathan Redd, Po Box 843, Portales, NM 88130-0843 Ph: (575) 356-6695 | Jonathan Redd, 1515 W Fir St, Portales, NM 88130-5703 Ph: (575) 356-6695 |
Mrs. Shanna Lee Campbell, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 42121 Us Highway 70, Portales, NM 88130 Phone: 575-356-6652 | |
Lindsay Young, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 42121 Us Highway 70, Portales, NM 88130 Phone: 575-356-6652 Fax: 575-359-6827 | |
Teresa Claire Evan, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1515 W Fir St, Portales, NM 88130 Phone: 575-356-6695 Fax: 575-356-5948 | |
Kerri Renee Self, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 620 W 1st St, Portales, NM 88130 Phone: 575-226-3898 Fax: 575-226-3890 | |
Eva F Toelle, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 42121 Us Hwy 70, Portales, NM 88130 Phone: 575-356-6652 Fax: 575-359-6827 | |
Sylvia Anne Rife, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 42121 Us Hwy 70, Portales, NM 88130 Phone: 575-356-6652 Fax: 575-226-0099 |