Individual provider · Type 1 NPI

Jamie Lynn Heredia, RN

School Registered Nurse · Portales, NM

NPI number 1073345203 Active

Practice location

501 S Abilene Ave
Portales, NM 88130-6380

Fax (575) 356-2846

Mailing address

PO Box 847
Portales, NM 88130-0847

Specialties and licenses

TaxonomyCodeLicense
School Registered Nurse Primary 163WS0200X834335 (TX)

School Registered Nurse: Definition to come...

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About NPI 1073345203

Jamie Lynn Heredia, RN's National Provider Identifier is 1073345203, issued on Aug 16, 2024. The primary taxonomy on file is School Registered Nurse (163WS0200X), and the practice location is in Portales, NM. The record was last updated on Aug 16, 2024.