JEREMY MICHAEL KING NPI 1821689001

NPI Information

  • NPI: 1821689001
  • Provider Name: JEREMY MICHAEL KING
  • Classification: Registered Nurse - 163WC1500X
  • Specialization: Community Health
  • Entity Type: Individual
  • Address: 1100 W 21ST ST
    CLOVIS, NM
    ZIP 88101
  • Phone: (575) 769-2345

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NPI Details

Jeremy Michael King is a community health registered nurse in Clovis, NM. Jeremy Michael King NPI is 1821689001. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1100 W 21ST ST
CLOVIS, NM
ZIP 88101-151
Phone: (575) 769-2345
Fax: (575) 769-9013

The enumeration date for this NPI number is 1/29/2021 and was last updated on 1/29/2021.

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
1163WC1500XRegistered NurseCommunity Health53940NEW MEXICOYes

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: 11/21/2025

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