Blevins, Carrie Nichole

Blevins, Carrie Nichole is an individual health care provider with primary practice located at 805 W. Kansas , Jal NM 88252. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Blevins, Carrie Nichole can be contacted via phone (575) 395-3400.

Contact Information

Primary practice address
805 W. Kansas Jal NM 88252
Phone: (575) 395-3400
Fax: (575) 395-2235
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X CNP-01862 New Mexico
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X CNP-01862 New Mexico

Profile Details

NPI number 1801172150
LBN Legal business name Blevins, Carrie Nichole
Credentials FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 1st, 2011
Last updated May 24th, 2024 - about last year

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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Identifiers

StateTypeNumberIssuer
All States NPI 1801172150 NPPES
New Mexico Other 2022092898 PMHNP BOARD CERTIFICATION
New Mexico MEDICAID 10708081 PMHNP BOARD CERTIFICATION
New Mexico Other F0911364 PMHNP BOARD CERTIFICATION

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