Jacqueline Nicole Ambrus, RN, BSN
Individual provider Active NPI School Registered Nurse · Clovis, NM
NPI 1356114060 · NPPES record last updated Nov 3, 2023
Key facts
- NPI
- 1356114060
- Entity type
- Individual (NPI type 1)
- Primary specialty
- School Registered Nurse 163WS0200X
- License
- RN-74021 (NM)
- Practice address
- 1009 N Main St
Clovis, NM 88101-5932 - Phone
- (575) 769-4490
- Fax
- (575) 769-4430
- NPI assigned
- Nov 3, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Bachelor on Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN-74021 | NM | MD | School Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clovis Municipal Schools | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Registered Nurse | 163WS0200X | RN-74021 | NM | Yes |
Addresses
Primary practice location
1009 N Main St
Clovis, NM 88101-5932
Mailing address
PO Box 19000
Clovis, NM 88102-9000
Phone (575) 769-4490
Other providers in Clovis, NM
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- Naomi Lynn Amador
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- Maria Dolores Amaro
- American Arthritis & Rheumatology Associates - NM LLC
- Basil A Anaele
- Charlene Anaele
- Ronda Renee Anaya
- Sarah Elizabeth Anderson
All providers in Clovis, 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 3, 2023. 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.