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NPI Code Detail

MEDICARE: JASPER LEAF FINNEGAN

MEDICARE:   JASPER LEAF FINNEGAN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1172V00000XCommunity Health WorkerNM

General Provider Information

NPI Number : 1134070527
Entity Type Code : Individual
Provider Name (Legal Business Name) : JASPER LEAF FINNEGAN
Provider Business Mailing Address
First Line : PO BOX 2243
Second Line :
City : LAS CRUCES
State : NM
Zip : 88004-2243
Country : US
Telephone Number : 575-527-5482
Fax Number : 575-652-4243
Provider Business Practice Location Address
First Line : 999 W AMADOR AVE STE A
Second Line :
City : LAS CRUCES
State : NM
Zip : 88005-2739
Country : US
Telephone Number : 575-527-5482
Fax Number : 575-652-4243
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/03/2026
Last Update Date : 02/03/2026

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Directions to “ JASPER LEAF FINNEGAN ” Practice Location

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