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NPI Verification

National Provider Identifier: 1851734461

Jennifer Michelle Bass, M.d.

Individual Provider

Credentials

M.D.

Primary Specialty

Internal Medicine

Code: 207R00000X

All Specialties (2)

Pediatrics

Code: 208000000X

Internal Medicine

Code: 207R00000X

Primary

Practice Address

516 E NIZHONI BLVD

GALLUP, NM 873015748

NPI Enumeration Date

April 12, 2013

NPI Number

1851734461

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry