Healthcare Provider Details

I. General information

NPI: 1821509308
Provider Name (Legal Business Name): AMY RUTH JONES APRN, FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/24/2017
Last Update Date: 02/28/2023
Certification Date: 02/16/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

318 E 32ND ST
SILVER CITY NM
88061
US

IV. Provider business mailing address

530 DEMOSS ST.
LORDSBURG NM
88045
US

V. Phone/Fax

Practice location:
  • Phone: 575-388-4412
  • Fax: 575-597-2809
Mailing address:
  • Phone: 575-542-8384
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP134996
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number72184
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: