Healthcare Provider Details

I. General information

NPI: 1497468011
Provider Name (Legal Business Name): JAHNELLE GARCIA MSN APRN FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: JAHNELLE TAYLOR MSN APRN FNP-C

II. Dates (important events)

Enumeration Date: 12/28/2022
Last Update Date: 02/11/2026
Certification Date: 02/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1101 GOLF COURSE RD SE STE 101
RIO RANCHO NM
87124-4732
US

IV. Provider business mailing address

1101 GOLF COURSE RD SE STE 101
RIO RANCHO NM
87124-4732
US

V. Phone/Fax

Practice location:
  • Phone: 505-239-9146
  • Fax: 505-346-1570
Mailing address:
  • Phone: 505-239-9146
  • Fax: 505-346-1570

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number71224
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: