MEDICARE: JANA LYNN VARGAS

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	163W00000X	Registered Nurse	R41475	NM

General Provider Information

NPI Number	:	1811825805
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JANA LYNN VARGAS

Provider Business Mailing Address
First Line	:	1109 PUEBLO GARDENS CT
Second Line	:
City	:	LAS CRUCES
State	:	NM
Zip	:	88007-8702
Country	:	US
Telephone Number	:	575-652-3378
Fax Number	:	575-652-4466

Provider Business Practice Location Address
First Line	:	116 W LAS CRUCES AVE
Second Line	:
City	:	LAS CRUCES
State	:	NM
Zip	:	88001-1226
Country	:	US
Telephone Number	:	575-652-3378
Fax Number	:	575-652-4466

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

Provider Enumeration Date	:	05/11/2026
Last Update Date	:	05/11/2026

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Directions to “ JANA LYNN VARGAS ” Practice Location

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