NPI
Jessica Lauren Stafford
NPI 1558795039
Read from the NPPES registry on October 23, 2026.
Facts
- Status
- Active
- Credential
- PharmD
- Type
- Individual
- Enumeration date
- 2013-09-03
- Last updated
- 2019-12-07
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Specialties
Licenses
- License PA
- RP448112
- License NM
- RP00008347
Location
- Practice location
- 415 N Main Ave
- City
- Aztec NM
- Postal code
- 87410-1927
- Phone
- (216) 272-2620
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Other NPIs in Aztec, NM. 173 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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