MEDICARE: DR. JENNIFER ELOISE SAPP D.C.

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	111N00000X	Chiropractor	DC 31394	CA
2	111N00000X	Chiropractor	NM1898	NM

General Provider Information

NPI Number	:	1710214986
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JENNIFER ELOISE SAPP D.C.

Provider Business Mailing Address
First Line	:	2730 SAN PEDRO DR NE STE B-1
Second Line	:
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87110-3334
Country	:	US
Telephone Number	:	505-271-8888
Fax Number	:

Provider Business Practice Location Address
First Line	:	2730 SAN PEDRO DR NE STE B-1
Second Line	:
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87110-3334
Country	:	US
Telephone Number	:	505-271-8888
Fax Number	:

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

Provider Enumeration Date	:	11/09/2009
Last Update Date	:	03/25/2025

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