| Doctor Name: | MRS. MARGARETHA KATHARINA JENNESS |
| NPI Number: | 1689606022 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CNP |
| License Number: | R44314 |
| Business Practice Address: | 801 Tenth Street Magdalena, NM - 87825 |
| Business Phone Number: | 5758355094 |
| Business Fax Number: | 5758355097 |
| Mailing Address: | Po Box 366, MAGDALENA |
| State: | NM |
| Postal Code: | 878250366 |
| Phone Number: | 5758543410 |
| Fax Number: | |
| NPI Enumeration Date: | 07/07/2006 |
| NPI Last Update Date: | 11/23/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | R44314 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NM |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |