MEDICARE: JANE JENAB M.D.

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
1	207Q00000X	Family Medicine Physician	46229	CO
2	390200000X	Student in an Organized Health Care Education/Training Program	2016	CO
3	207Q00000X	Family Medicine Physician	MD2020-0385	NM
4	207P00000X	Emergency Medicine Physician	314828	NY

General Provider Information

NPI Number	:	1386789824
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JANE JENAB M.D.

Provider Business Mailing Address
First Line	:	PO BOX 26666
Second Line	:	PROVIDER ENROLLMENT
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87125-6666
Country	:	US
Telephone Number	:	505-923-6770
Fax Number	:

Provider Business Practice Location Address
First Line	:	6400 PASEO DEL NORTE NE
Second Line	:
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87113-1718
Country	:	US
Telephone Number	:	505-596-2100
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/21/2007
Last Update Date	:	05/24/2022

Similar Medicare Providers

1215525902 — AUGUST VOJDANI PA-C
Practice Location Address:

4588 PARADISE BLVD NW , MEDICARE ADVANTAGE CLINIC
ALBUQUERQUE, NM
87114-4105

Practice Phone: 505-998-1840
Practice Fax: 505-998-1841

1043359078 — DANIEL M. GEE MD
Practice Location Address:

6400 PASEO DEL NORTE BLVD NE
ALBUQUERQUE, NM
87113-1718

Practice Phone: 505-596-2100
Practice Fax: 505-596-2180

1427187632 — MURRAY FORESTELL YOUNG M.D.
Practice Location Address:

6400 PASEO DEL NORTE NE
ALBUQUERQUE, NM
87113-1718

Practice Phone: 505-596-2100
Practice Fax: 505-596-2180

1205968856 — MR. MICHAEL KULIKOWSKI
Practice Location Address:

6400 PASEO DEL NORTE NE
ALBUQUERQUE, NM
87113-1718

Practice Phone: 505-596-2100
Practice Fax:

1164805362 — EDWARD TOBIAS GARCIA CNP
Practice Location Address:

6400 PASEO DEL NORTE BLVE NE
ALBUQUERQUE, NM
87113-1718

Practice Phone: 505-596-2100
Practice Fax:

1710534110 — BENJAMIN IIAMES
Practice Location Address:

6400 PASEO DEL NORTE BLVD NE
ALBUQUERQUE, NM
87113-1718

Practice Phone: 505-596-2100
Practice Fax:

Directions to “ JANE JENAB M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.