Individual provider · Type 1 NPI

Jonathan Redd

Family Nurse Practitioner · Portales, NM

NPI number 1366918963 Active

Practice location

1515 W Fir St
Portales, NM 88130-5703

Fax (575) 356-5948

Mailing address

PO Box 843
Portales, NM 88130-0843

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X53956 (NM)

Family Nurse Practitioner: Definition to come...

10 other providers at this address

Other family nurse practitioner providers in Portales

See all in Portales →

About NPI 1366918963

Jonathan Redd's National Provider Identifier is 1366918963, issued on Oct 22, 2018. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Portales, NM. The record was last updated on Oct 22, 2018.