IndividualActive
Audrey Jessup, CNM
NPI 1780405035 · Advanced Practice Midwife · Los Lunas, NM
Provider details
- NPI number
- 1780405035
- Entity type
- Individual
- Primary specialty
- Advanced Practice MidwifePhysician Assistants & Advanced Practice Nursing Providers
- Credential
- CNM
- Sex
- Female
- Sole proprietor
- Yes
- License
- 892 (NM)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
145 Don Pasqual Rd Nw
Los Lunas, NM 87031-8841
Phone: (505) 873-7400
Approximate (ZIP-level) locationGet directions
Mailing address
800 Bradbury Dr Se Ste 116
Albuquerque, NM 87106-4310
Registry dates
- Enumerated
- 2024-10-21
- Last updated
- 2024-11-13
- Certified
- 2024-11-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.