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Contact Information

JESSICA PROCHNOW, RNFA
2903 HYDER AVE SE
ALBUQUERQUE, NM87106-2938
 Phone: 214-227-2457
 Fax: 972-463-7247
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgical

363AS0400X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for JESSICA PROCHNOW, RNFA

NPI Number 1437400942
LBN Legal business name JESSICA PROCHNOW, RNFA
Authorized official SAM WORTH - (BILLING MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 09/24/2012
Last updated 09/24/2012 - About 14 years ago
Identifiers
NM License # R49466
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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