Jennifer Hightree

Individual provider Active NPI Community Health Worker · Raton, NM

NPI 1245843374 · NPPES record last updated Aug 28, 2020

Key facts

NPI
1245843374
Entity type
Individual (NPI type 1)
Primary specialty
Community Health Worker 172V00000X
Practice address
1269 S 2ND St
Raton, NM 87740-2234
Phone
(575) 733-0003
NPI assigned
Aug 28, 2020
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Worker 172V00000X Yes

Addresses

Primary practice location

1269 S 2ND St
Raton, NM 87740-2234

Mailing address

PO Box 94508
Albuquerque, NM 87199-4508

Other providers in Raton, NM

All providers in Raton, NM · Community Health Worker in New Mexico

Sources for this page

Verify at the official NPI Registry.