Doctor Name: | JOVANNA MARIE OCHOA |
NPI Number: | 1124403381 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP-BC |
License Number: | CNP-02712 |
Business Practice Address: | 1501 East 10th Street Alamogordo, NM - 88310 |
Business Phone Number: | 5754342960 |
Business Fax Number: | |
Mailing Address: | 3611 Fernwood Ave, ALAMOGORDO |
State: | NM |
Postal Code: | 883105405 |
Phone Number: | 5756394707 |
Fax Number: | |
NPI Enumeration Date: | 07/29/2015 |
NPI Last Update Date: | 07/29/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | CNP-02712 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NM |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |