Healthcare Provider Details

I. General information

NPI: 1821880618
Provider Name (Legal Business Name): JENNY NICOLE FERRANTI
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/19/2025
Last Update Date: 05/19/2025
Certification Date: 05/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3202 N RIDGE LOOP DR
SILVER CITY NM
88061-7242
US

IV. Provider business mailing address

1313 E 32ND ST
SILVER CITY NM
88061-7251
US

V. Phone/Fax

Practice location:
  • Phone: 575-342-2953
  • Fax:
Mailing address:
  • Phone: 575-538-4000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number4321
License Number StateNM
# 2
Primary TaxonomyY
Taxonomy Code174H00000X
TaxonomyHealth Educator
License Number3210
License Number StateNM
# 3
Primary TaxonomyN
Taxonomy Code405300000X
TaxonomyPrevention Professional
License Number080481
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: