Jenna Lindsay Gorman, RN
Individual provider Active NPI School Registered Nurse · Logan, NM
NPI 1255845293 · NPPES record last updated Nov 29, 2017
Key facts
- NPI
- 1255845293
- Entity type
- Individual (NPI type 1)
- Primary specialty
- School Registered Nurse 163WS0200X
- License
- RN-81143 (NM)
- Practice address
- 301 N 2ND St
Logan, NM 88426-8842 - Phone
- (575) 487-2252
- Fax
- (575) 487-9479
- NPI assigned
- Nov 29, 2017
- 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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN-81143 | NM | MD | School Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Registered Nurse | 163WS0200X | RN-81143 | NM | Yes |
Addresses
Primary practice location
301 N 2ND St
Logan, NM 88426-8842
Mailing address
PO Box 272
Logan, NM 88426-0272
Phone (575) 403-6512
Other providers in Logan, NM
- Abal, LCC
- Autumn Blessings Assistd Living, LLC
- Joyce Elaine Feerer
- Logan Family Practice, LLC
- Sharon Darlene Oliver
- Village of Logan
- La Juana Dell Willis
All providers in Logan, NM · School Registered Nurse in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 29, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.