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NPI Lookup from the NPI Registry — National Provider Identifier Database

Contact Information

JENNIFER DEROY, CNP
2150 HIGHWAY 54 S
ALAMOGORDO, NM88310-7330
 Phone: 575-443-8133
 Fax: 575-443-8055
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Family

363LF0000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for JENNIFER DEROY · (Female)

NPI Number 1609843689
Credentials CNP (Certified Nurse Practitioner)
Entity Individual
Enumeration date 03/08/2006
Last updated 08/01/2011 - About 5 years ago
Sole proprietor 1 No
Identifiers
NM License # CNP00916
NM License # R41076
NM Medicaid 49626248
NM Medicare (Unspecified) 345535704
NM Medicare UPIN Q59875
Hospital affiliation(s)
  • GERALD CHAMPION REGIONAL MEDICAL CENTE - (Acute Care)
    2669 NORTH SCENIC DRIVE
    ALAMOGORDO, NM 88310
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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