JESSICA A CONKLIN (NPI# 1275981557) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275981557 |
| Entity Type | Individual |
| Full Name | JESSICA A CONKLIN |
| Other Name | JESSICA A SCOTT |
| Credential | CNP |
| Practice Address |
407 S Schwartz Ave Suite 102 Farmington NM 87401-5925 |
| Mailing Address |
Po Box 6210 Farmington NM 87499-6210 |
| Practice Telephone | 5056096700 |
| Practice Fax Number | 5056096701 |
| Mailing Telephone | 5056092258 |
| Mailing Fax Number | 5056092259 |
| Enumeration Date | 2016-05-27 |
| Last Update Date | 2016-05-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
RN-000 | NM | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790206316 | Jessica Lynn Conklin | Licensed Practical Nurse | 445 Willi Hill Rd, Swan Lake, NY 12783-5818 | 2017-07-05 |
| 1619213881 | Jessica Rachelle Conklin | Pharmacist | 1036 Casa Roja Pl Nw, Albuquerque, NM 87120-6587 | 2012-12-17 |
| 1568063543 | Jessica Conklin | Nurse Practitioner | 68 Crystal Run Rd, Middletown, NY 10941-7100 | 2020-11-05 |
| 1578004925 | Jessica Conklin | Student in an Organized Health Care Education/Training Program | 2900 S Hanover St, Brooklyn, MD 21225-1232 | 2017-03-19 |
| 1669875837 | Jessica Leigh Conklin | Developmental Therapist | 500 Fairway Dr, Ste. 102, Deerfield Beach, FL 33441-1814 | 2014-10-02 |
| Street Address |
407 S SCHWARTZ AVE SUITE 102 |
| City | FARMINGTON |
| State | NM |
| Zip Code | 87401-5925 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376542118 | Christopher Lesueur | Internal Medicine | 407 S Schwartz Ave, Ste 201, Farmington, NM 87401-5925 | 2005-07-14 |
| 1669921003 | Laprincess D Tso | Nurse Practitioner | 407 S Schwartz Ave, Suite 101, Farmington, NM 87401-5925 | 2016-09-27 |
| 1962878157 | Martha Jean Luhrs | Nurse Practitioner | 407 S Schwartz Ave, Suite 202, Farmington, NM 87401-5925 | 2015-08-11 |
| 1043693948 | Molly Patricia Hummel | Physician Assistant | 407 S Schwartz Ave, Suite 101, Farmington, NM 87401-5925 | 2015-07-09 |
| 1790195725 | Pierre Mckenzie | Nurse Practitioner | 407 S Schwartz Ave, Suite 202, Farmington, NM 87401-5925 | 2014-04-29 |
| 1811327901 | Katherine Rebecca Mccrea Jarvis | Registered Nurse | 407 S Schwartz Ave, Suite 102, Farmington, NM 87401-5925 | 2013-11-26 |
| 1205185261 | Mary Pickard | Physician Assistant | 407 S Schwartz Ave, Suite 202, Farmington, NM 87401-5925 | 2012-09-06 |
| 1013286269 | Jennifer Lizabeth Manganello | Nurse Practitioner | 407 S Schwartz Ave, Suite 101, Farmington, NM 87401 | 2011-12-16 |
| 1356625917 | Tracie D Grace | Nurse Practitioner | 407 S Schwartz Ave, Suite 201, Farmington, NM 87401-5925 | 2011-09-30 |
| 1114224540 | Sudhakar Rendla | Pediatrics | 407 S Schwartz Ave, Suite 102, Farmington, NM 87401-5925 | 2011-02-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164035192 | Jaylene Miller | Behavior Technician | 912 Fairgrounds Rd. Trl 36, Farmington, NM 87401 | 2020-08-28 |
| 1255940326 | John Andrew Martinez | Behavioral Analyst | 211 N Auburn, Farmington, NM 87401 | 2020-07-24 |
| 1598304990 | Chasitity Beulah Nez | Behavior Technician | 37 Rd 7101 #127, Farmington, NM 87401 | 2020-01-02 |
| 1205478575 | Micah Magee | Speech-Language Pathologist | Farmington High School, 2200 N. Sunset Ave, Farmington, NM 87401 | 2019-10-08 |
| 1831659754 | Lelilah Todacheene | Social Worker | 1204 Camina Real, Farmington, NM 87401 | 2019-03-25 |
| 1306323555 | Litany of Life | Counselor | 1010 Ridgeway Place, Farmington, NM 87401 | 2018-07-20 |
| 1093291213 | Brittany Bigham | Nurse Practitioner | 1001 W Broadway Ste E, Farmington, NM 87401 | 2018-07-11 |
| 1528556305 | Hairoun Home Health | Home Health | 1200 East 20th Street, Farmington, NM 87401 | 2018-04-26 |
| 1003338732 | Silver Tongue Speech & Voice, LLC | Clinic/Center | 3001 Northridge Dr Ste C, Farmington, NM 87401 | 2017-07-14 |
| 1902256621 | Capacity Builders Inc | Taxi | 418 W Broadway, Farmington, NM 87401 | 2016-06-14 |
| Find all providers in zip 87401 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023257714 | Carey Reynholds Driscoll | Nurse Practitioner | 505 Farmington Ave, 2nd Floor, Farmington, CT 06032 | 2009-02-19 |
| 1003477969 | Erin Tinker | Nurse Practitioner | 407 S Schwartz Ave Ste 102, Farmington, NM 87401-5925 | 2019-06-21 |
| 1356852065 | Kara Rambo | Nurse Practitioner | 23133 Orchard Lake Rd Ste 100, Farmington, MI 48336-3278 | 2017-10-20 |
| 1407108293 | Stephanie C Belanger | Nurse Practitioner | 3 Farm Glen Blvd, Farmington, CT 06032-1981 | 2012-10-04 |
| 1427235373 | Kerri M. Langevin | Nurse Practitioner | 1 Forest Park Dr, Farmington, CT 06032-1487 | 2008-01-23 |
| 1609969245 | Carol Connelly | Nurse Practitioner | 407 S Schwartz Ave, Ste 102, Farmington, NM 87401-5925 | 2006-10-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558960153 | Renea M Reano | Nurse Practitioner | 4701 Irving Blvd Nw Apt 508, Albuquerque, NM 87114-3906 | 2020-10-23 |
| 1104433952 | Joli Ann Martinez | Nurse Practitioner | 2028 Coba Rd Se, Rio Rancho, NM 87124-8913 | 2020-09-25 |
| 1124642772 | Little Steps Pediatrics LLC | Nurse Practitioner | 1990 E Lohman Ave Ste A, Las Cruces, NM 88001-3117 | 2020-05-29 |
| 1558865980 | Kirsten Shelby Guerra | Nurse Practitioner | 4401 E. Lohman Ave ., Suite A, Las Cruces, NM 88011 | 2018-03-21 |
| 1225552094 | Sacheen Diahn Naddy | Nurse Practitioner | 8650 Alameda Blvd Ne # 101, Albuquerque, NM 87122-3791 | 2017-08-02 |
| 1336661958 | Camille Caroline Walker | Nurse Practitioner | 437 Loma Linda Loop Ne, Rio Rancho, NM 87124-4717 | 2017-07-14 |
| 1700242112 | Gustavo Gutierrez | Nurse Practitioner | 800 S County Line Dr, Chaparral, NM 88081 | 2016-01-14 |
| 1689040461 | Elizabeth Rodgers | Nurse Practitioner | 700 Lomas Blvd Ne, 3 Woodward Center, Albuquerque, NM 87102 | 2015-08-17 |
| 1891026563 | Lori Myers | Nurse Practitioner | 1721 Rio Rancho Blvd. Nw, Rio Rancho, NM 87124 | 2010-01-20 |
| 1972833523 | Deborah J Angeles | Nurse Practitioner | 27th Special Operations Medical Group, 224 W Dl Ingram Ave, Cannon Afb, NM 88103-5103 | 2010-01-04 |
| Find all providers with the same taxonomy | ||||
| City | FARMINGTON |
| Zip Code | 87401 |
Please comment or provide details below to improve the information on JESSICA A CONKLIN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.