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Search › New Mexico › Family Nurse Practitioner

Jacob Connelly

NPI 1790147593 · on the registry since 2016

Practice

Address
3917 West Rd Ste A3917
Los Alamos, NM 87544
Phone
(505) 661-8959
Fax
(505) 661-8916
Organisation at this address
Gonzalo A Diaz
Phc-Los Alamos Inc
Phc-Los Alamos Inc
Phc-Los Alamos Inc
Phc- Los Alamos Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
88

Additional practice sites

  • 8291 Dani Dr Ste 100, Fort Myers, FL
  • 737 Cape Coral Pkwy E, Cape Coral, FL

Registry record

Primary taxonomy
Family Nurse Practitioner
363LF0000X
Also registered as
Registered Nurse
Licence states on file
FL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-08-26

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