JENNIFER LYNN OTIS NPI 1013517978

NPI Information

NPI: 1013517978
Provider Name: JENNIFER LYNN OTIS
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Address:
3741 RUTLEDGE RD NE
ALBUQUERQUE, NM
ZIP 87109
Phone: (505) 798-9300
Get Directions

Jennifer Lynn Otis is a medical physician assistant in Albuquerque, NM. Jennifer Lynn Otis NPI is 1013517978. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3741 RUTLEDGE RD NE
ALBUQUERQUE, NM
ZIP 87109-566
Phone: (505) 798-9300
Fax: (505) 798-0808

The enumeration date for this NPI number is 10/29/2020 and was last updated on 10/29/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »