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NPI 1003473679

IndividualActive

Amy Dejesus, RN

NPI 1003473679 · Emergency Registered Nurse · Gallup, NM

Provider details

NPI number: 1003473679
Entity type: Individual
Primary specialty: Emergency Registered NurseNursing Service Providers
Credential: RN
Sex: Female
Sole proprietor: No
License: R90507 (AR)

Practice location

516 E Nizhoni Blvd

Gallup, NM 87301-5748

Phone: (505) 722-2554

More NM providers

Mailing address

1320 Heart Rd

Glencoe, AR 72539-9504

Registry dates

Enumerated: 2019-05-20
Last updated: 2019-05-20

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Amy Dejesus, RN — NPI 1003473679, Gallup, NM | NPI Central