Amezquita, Jennifer Michal
Amezquita, Jennifer Michal is an sole proprietor health care provider with primary practice located at 1100 S Main St Ste 113 , Las Cruces NM 88005-2921. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Nursing Service Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Amezquita, Jennifer Michal can be contacted via phone (915) 345-9672.Contact Information
Primary practice address
1100 S Main St Ste 113
Las Cruces NM 88005-2921
Phone: (915) 345-9672
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 1141317 | Texas |
| Nursing Service Providers / Psychiatric/Mental Health | 163WP0808X | 958463 | Texas |
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 76270 | New Mexico |
Profile Details
| NPI number | 1861183386 |
|---|---|
| LBN Legal business name | Amezquita, Jennifer Michal |
| Credentials | DNP, APRN, PMHNP-BC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 16th, 2023 |
| Last updated | May 15th, 2024 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1861183386 | NPPES |
| Texas | Other | 2023103244. | ANCC BOARD CERTIFICATION |
| Texas | Other | 1141317 | ANCC BOARD CERTIFICATION |
| Texas | Other | 76270 | ANCC BOARD CERTIFICATION |
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