| NPI | 1194553024 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA SIMPSON Owner/Nurse Practitioner 575-221-9663 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2024-07-23 |
| Last Update Date | 2025-10-11 |