IndividualActive
Jeremy King
NPI 1821689001 · Community Health Registered Nurse · Clovis, NM
Provider details
- NPI number
- 1821689001
- Entity type
- Individual
- Primary specialty
- Community Health Registered NurseNursing Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 53940 (NM)
Specialties & taxonomies
Nursing Service Providers
Practice location
1100 W 21st St
Clovis, NM 88101-4151
Phone: (575) 769-2345
Fax: (575) 769-9013
Approximate (ZIP-level) locationGet directions
Mailing address
1100 W 21st St
Clovis, NM 88101-4151
Registry dates
- Enumerated
- 2021-01-29
- Last updated
- 2021-01-29
- Certified
- 2021-01-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.