IndividualActive
Jacob Sanders, ARNP/DNP
NPI 1821414517 · Adult Health Nurse Practitioner · Holloman Afb, NM
Provider details
- NPI number
- 1821414517
- Entity type
- Individual
- Primary specialty
- Adult Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- ARNP/DNP
- Sex
- Male
- Sole proprietor
- No
- License
- 60057 (NM)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
280 1st St
Holloman Afb, NM 88330-8273
Phone: (575) 572-4888
Approximate (ZIP-level) locationGet directions
Mailing address
280 1st St Bldg 23
Holloman Afb, NM 88330-8273
Registry dates
- Enumerated
- 2014-03-05
- Last updated
- 2022-11-16
- Certified
- 2022-11-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.