Matherly, Jennifer Lynn

Matherly, Jennifer Lynn is an individual health care provider with primary practice located at 4351 E Lohman Ave Ste 401 , Las Cruces NM 88011-8261. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Matherly, Jennifer Lynn can be contacted via phone (575) 522-4767.

Contact Information

Primary practice address
4351 E Lohman Ave Ste 401 Las Cruces NM 88011-8261
Phone: (575) 522-4767
Fax: (575) 522-3607
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 663 New Mexico

Profile Details

NPI number 1063844017
LBN Legal business name Matherly, Jennifer Lynn
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 1st, 2013
Last updated Sep 8th, 2020 - about 6 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 1063844017 NPPES
New Mexico MEDICAID 42876826

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