Individual provider · Type 1 NPI

Jeremy Michael King

Community Health Registered Nurse · Clovis, NM

NPI number 1821689001 Active

Practice location

1100 W 21st St
Clovis, NM 88101-4151

Fax (575) 769-9013

Specialties and licenses

TaxonomyCodeLicense
Community Health Registered Nurse Primary 163WC1500X53940 (NM)

Community Health Registered Nurse: Definition to come...

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About NPI 1821689001

Jeremy Michael King's National Provider Identifier is 1821689001, issued on Jan 29, 2021. The primary taxonomy on file is Community Health Registered Nurse (163WC1500X), and the practice location is in Clovis, NM. The record was last updated on Jan 29, 2021.