| NPI | 1366325706 |
|---|---|
| Former Legal Business Name | JDNP |
| Entity Type | Organization |
| Authorized Contact | JANET DOMINGUEZ Owner/Provider 505-307-6060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 251E00000X Home Health |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| Enumeration Date | 2025-07-30 |
| Last Update Date | 2025-07-30 |