Most Relevant Information
Provider Data
| NPI Number: | 1003544271 |
| Provider Name: | JESSICA E NANDINO RN |
| Entity Type: | Individual |
| Taxonomy Code: | 163W00000X |
| Specialty: | Registered Nurse |
| License Number: | RN-72133 |
Most Important Dates
| Enumeration Date: | 08/15/2022 |
| Last Updated: | 08/15/2022 |
Provider Practice Location
110 STATE HIGHWAY 344
EDGEWOOD
NM
87015
Practice Location Phone/Fax
| Phone: | 5054313822 |
| Fax: | 5054313773 |
Provider Mailing Location
1321 E POPLAR ST
DEMING
NM
880304807
Provider Mailing Phone/Fax
| Phone: | 5755465951 |
| Fax: | 5755465994 |