Individual provider · Type 1 NPI

Jennifer Lynn Otis

Medical Physician Assistant · Albuquerque, NM

NPI number 1013517978 Active

Practice location

3741 Rutledge Rd NE
Albuquerque, NM 87109-5566

Call (505) 798-9300 Map

Fax (505) 798-0808

Mailing address

9200 Lona Ln NE
Albuquerque, NM 87111-1619

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XNone listed

Medical Physician Assistant: Definition to come...

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About NPI 1013517978

Jennifer Lynn Otis's National Provider Identifier is 1013517978, issued on Oct 29, 2020. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Albuquerque, NM. The record was last updated on Oct 29, 2020.