Jodi L. D'Avignon, R.N.
Individual provider Active NPI Registered Nurse · Algodones, NM
NPI 1811441942 · NPPES record last updated Aug 5, 2016
Key facts
- NPI
- 1811441942
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- R26560 (NM)
- Practice address
- 127 Hagon Rd
Algodones, NM 87001-8087 - Phone
- (505) 771-9922
- NPI assigned
- Aug 5, 2016
- 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 |
|---|---|---|---|
| R26560 | NM | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | R26560 | NM | Yes |
Addresses
Primary practice location
127 Hagon Rd
Algodones, NM 87001-8087
Mailing address
335 Vineyard Rd NW
Los Ranchos, NM 87107-5805
Phone (505) 803-3397
Other providers in Algodones, NM
- Audrina Melissa Abeyta
- Kaitlyn Therese Archibeque
- Bernice Faye Chavez
- Sierra Chavez
- Sydney Cassandra Chavez
- Cristin Deuble
- Rachel Dubois
- Brittney A Garcia
- Justin Giehm
- Yvette Macdonald
All providers in Algodones, NM · 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 Aug 5, 2016. 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.