Individual provider · Type 1 NPI
Jillian Marie Beausoleil, IDMT
Independent Duty Medical Technicians · Cannon Afb, NM
Practice location
511 N Torch Blvd Rm 102B
Cannon Afb, NM 88103-5109
Mailing address
1204 Rosewood Dr
Clovis, NM 88101-9391
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Independent Duty Medical Technicians Primary | 1710I1003X | None listed |
Independent Duty Medical Technicians: An Independent Duty Medical Technician (IDMT) is specially trained and educated to perform primary medical care, minor surgical services, and treatment of dental disorders for active duty military members in a variety of health care and non-health care settings worldwide under direct and indirect physician supervision. An IDMT may take medical histories, perform physical exams, order lab tests and x-rays, prescribe …
Other independent duty medical technicians providers in Cannon Afb
- Jason Anthony Evans, IDMTIndependent Duty Medical Technicians Cannon Afb, NM NPI 1033452206
- Keaton James RiderIndependent Duty Medical Technicians Cannon Afb, NM NPI 1083369938
- Lindsay Vincent, IDMTIndependent Duty Medical Technicians Cannon Afb, NM NPI 1083844054
- Andrew M. NullIndependent Duty Medical Technicians Cannon Afb, NM NPI 1205790375
- Jesse Ferrell, IDMTIndependent Duty Medical Technicians Cannon Afb, NM NPI 1215638101
- Jakob CreedIndependent Duty Medical Technicians Cannon Afb, NM NPI 1245931153
- Desiree Anderson, IDMTIndependent Duty Medical Technicians Cannon Afb, NM NPI 1295093912
- Maverick Lee PetersonIndependent Duty Medical Technicians Cannon Afb, NM NPI 1346028149
About NPI 1053554204
Jillian Marie Beausoleil, IDMT's National Provider Identifier is 1053554204, issued on Apr 16, 2009. The primary taxonomy on file is Independent Duty Medical Technicians (1710I1003X), and the practice location is in Cannon Afb, NM. The record was last updated on Oct 6, 2011.