Individual provider · Type 1 NPI

Jennifer Shoup

Student in an Organized Health Care Education/Training Program · Las Cruces, NM

NPI number 1245015890 Active

Practice location

715 E Idaho Ave Ste 3E
Las Cruces, NM 88001-4702

Call (575) 323-8900 Map

Mailing address

350 El Molino Blvd
Las Cruces, NM 88005-2915

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1245015890

Jennifer Shoup's National Provider Identifier is 1245015890, issued on Aug 30, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Las Cruces, NM. The record was last updated on Oct 20, 2026.