Benally, Jackie

Benally, Jackie is an individual health care provider with primary practice located at 85 West Hwy 22 , Santo Domingo Pueblo NM 87052. She recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as her primary health care specialty. Benally, Jackie can be contacted via phone (505) 465-3060.

Contact Information

Primary practice address
85 West Hwy 22 Santo Domingo Pueblo NM 87052
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN-73547 New Mexico

Profile Details

NPI number 1710767538
LBN Legal business name Benally, Jackie
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 29th, 2023
Last updated Sep 29th, 2023 - about 3 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.

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