Healthcare Provider Details

I. General information

NPI: 1508548066
Provider Name (Legal Business Name): JENNA MICHELLE CURRIE APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JENNA MICHELLE MAYS RN

II. Dates (important events)

Enumeration Date: 08/03/2023
Last Update Date: 08/04/2026
Certification Date: 08/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1720 LOUISIANA BLVD NE STE 401A
ALBUQUERQUE NM
87110-7020
US

IV. Provider business mailing address

1620 N MAIN ST
SPANISH FORK UT
84660-1008
US

V. Phone/Fax

Practice location:
  • Phone: 505-418-4706
  • Fax: 866-913-0013
Mailing address:
  • Phone: 844-354-9144
  • Fax: 866-913-0013

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number74802
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: