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NPI Code Detail

MEDICARE: JACQUELINE TUTON

MEDICARE:   JACQUELINE  TUTON
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LP0808XPsychiatric/Mental Health Nurse PractitionerCNP03119NM
2363L00000XNurse PractitionerCNP-03119NM

General Provider Information

NPI Number : 1669915690
Entity Type Code : Individual
Provider Name (Legal Business Name) : JACQUELINE TUTON
Provider Business Mailing Address
First Line : 3385 RIDGELINE DR
Second Line :
City : LAS CRUCES
State : NM
Zip : 88005-1156
Country : US
Telephone Number : 575-520-4994
Fax Number :
Provider Business Practice Location Address
First Line : 3751 DEL REY BLVD
Second Line :
City : LAS CRUCES
State : NM
Zip : 88012-7710
Country : US
Telephone Number : 575-382-3500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/22/2016
Last Update Date : 06/16/2026

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Directions to “ JACQUELINE TUTON ” Practice Location

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