Jodi A. Dettman, CNP
NPI #1720269178 in Edgewood, New Mexico
Provider Information
- NPI Number
- 1720269178
- Entity Type
- Individual
- Name
- Jodi A. Dettman, CNP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Adult Health
- Credential
- CNP
- Enumeration Date
- Nov 14, 2007
- Last Updated
- May 4, 2018
Practice Location
- Address
- 104 QUAIL TRL UNIT B
- City
- Edgewood
- State
- New Mexico
- ZIP Code
- 87015-7185
- Phone
- (505) 208-0204
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Adult Health — Adult Health |
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