NPI 1013517978

Jennifer Lynn Otis

Practitioner Medical Physician Assistant Albuquerque, NM

Practice location

Address: 3741 Rutledge Rd NE, Albuquerque, NM 87109-5566
Phone: (505) 798-9300
Fax: (505) 798-0808
Mailing address: 9200 Lona Ln NE, Albuquerque, NM 87111-1619

Registered specialties

Medical Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AM0700X

Other Physician Assistant providers in New Mexico →

Registry record

NPI: 1013517978
Entity type: Individual
Sex (as registered): Female
NPI issued: 29 Oct 2020
Record last updated: 29 Oct 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.