Jennifer Tysol

Case Manager/Care Coordinator · Bernalillo, NM

Individual Active NPI

NPI number 1255503710

Practice location

872 S Camino Del Pueblo
Bernalillo, NM 87004-5927
Phone
(505) 867-2383
Fax
(505) 867-7293

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NPI record

NPI
1255503710
Entity type
Individual (Type 1)
Enumeration date
March 25, 2008
Last updated
May 2, 2008
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Case Manager/Care Coordinator Primary 171M00000X — —

Mailing address

12400 Skyline Rd NE # 115
Albuquerque, NM 87123-3020
Phone
(505) 867-2383
Fax
(505) 867-7293

About Jennifer Tysol

Jennifer Tysol is a healthcare provider registered in the NPI registry with the primary taxonomy Case Manager/Care Coordinator (code 171M00000X). The practice location is 872 S Camino Del Pueblo, Bernalillo, NM 87004-5927. The NPI number 1255503710 was assigned on March 25, 2008 and the record was last updated on May 2, 2008.

Frequently asked questions

What is the NPI number of Jennifer Tysol?

The NPI number is 1255503710.

What is the phone number of Jennifer Tysol?

The phone number listed for the practice location is (505) 867-2383.

Where is Jennifer Tysol located?

872 S Camino Del Pueblo, Bernalillo, NM 87004-5927.

What is the taxonomy code for Jennifer Tysol?

The primary taxonomy code is 171M00000X – Case Manager/Care Coordinator.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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