SearchNew Mexico1710I1003X

Jesse Ferrell, IDMT

NPI 1215638101 · on the registry since 2023 · sole proprietor

Practice

Address
224 W Dl. Ingram Ave
Bldg 1408
Cannon Afb, NM 88101
Phone
(575) 784-8512
Clinicians at this address
2

Registry record

Primary taxonomy
1710I1003X
1710I1003X
Sex
Male
Record last updated
2025-01-17

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Mexico