Healthcare Provider Details

I. General information

NPI: 1851755540
Provider Name (Legal Business Name): JOSIE JEAN POKORNY MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/08/2016
Last Update Date: 05/06/2025
Certification Date: 05/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

320 GOLD AVE SW STE 1001
ALBUQUERQUE NM
87102-3228
US

IV. Provider business mailing address

13395 VOYAGER PKWY STE 130 PMB 2024
COLORADO SPRINGS CO
80921-7677
US

V. Phone/Fax

Practice location:
  • Phone: 505-247-4900
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberMD2020-0654
License Number StateNM
# 2
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberDR.0065607
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: