NPI 1215638101

Jesse Ferrell, IDMT

Practitioner Independent Duty Medical Technicians Cannon Afb, NM

Practice location

Address: 224 W Dl. Ingram Ave Bldg 1408, Cannon Afb, NM 88101
Phone: (575) 784-8512
Mailing address: 224 W D.L. Ingram Ave Bldg 1408, Cannon Afb, NM 88103

Registered specialties

Independent Duty Medical Technicians Primary

Other Service Providers Taxonomy 1710I1003X

Other Military Health Care Provider providers in New Mexico →

Registry record

NPI: 1215638101
Entity type: Individual
Sex (as registered): Male
NPI issued: 16 Mar 2023
Record last updated: 17 Jan 2025

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.