Jones, Teddy Lynn

Jones, Teddy Lynn is an individual health care provider with primary practice located at 2021 W 21St St , Clovis NM 88101-4086. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Jones, Teddy Lynn can be contacted via phone (505) 935-7777.

Contact Information

Primary practice address
2021 W 21St St Clovis NM 88101-4086
Phone: (505) 935-7777
Fax: (505) 935-7778
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 218392 Texas
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X R36172 New Mexico

Profile Details

NPI number 1902905920
LBN Legal business name Jones, Teddy Lynn
Credentials R.N, F.N.P., PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 22nd, 2006
Last updated Jul 8th, 2007 - about 19 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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Identifiers

StateTypeNumberIssuer
All States NPI 1902905920 NPPES
Texas MEDICAID FNP002422

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