IndividualActive
Bethany Jones, AGPNP
NPI 1053098657 · Gerontology Nurse Practitioner · Farmington, NM
Provider details
- NPI number
- 1053098657
- Entity type
- Individual
- Primary specialty
- Gerontology Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- AGPNP
- Sex
- Female
- Sole proprietor
- Yes
- License
- 73518 (NM)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1001 W Broadway
Farmington, NM 87401-5638
Phone: (505) 327-4796
Fax: (505) 599-9351
Approximate (ZIP-level) locationGet directions
Mailing address
212 E Navajo St
Farmington, NM 87401-6110
Registry dates
- Enumerated
- 2023-07-05
- Last updated
- 2024-09-25
- Certified
- 2024-09-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.