JENNIFER RAE WITHERS RN
NPI 1841758802
Registered Nurse in Gallup, NM

Active since March 08, 2019
516 E NIZHONI BLVD, GALLUP, NM 87301(505) 722-1000 Get Directions Write a Review

NPPES record last updated: September 23, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Sep 23, 2020, Nov 12, 2019, Mar 8, 2019 (3 updates tracked since 2019).

About Jennifer Rae Withers Rn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JENNIFER RAE WITHERS RN (NPI 1841758802) is an individual registered nurse in Gallup, New Mexico, licensed in Illinois (041402463) and active in the NPI registry since March 2019. She maintains a secondary practice location in Macomb.

NPPES Registry Identity

NPI1841758802
Entity TypeIndividualFemale
Primary Taxonomy163W00000X
Provider Legal NameJENNIFER RAE WITHERSCredential: RN
Location Address516 E NIZHONI BLVDGallup, NM 87301-5748
Mailing Address516 E Nizhoni BlvdGallup, NM 87301-5748 · (505) 722-1000
Sole ProprietorNo
Enumeration DateMarch 8, 2019
Last NPPES UpdateSeptember 23, 20203 updates tracked since enumeration
NPPES CertifiedSeptember 22, 2020
NPI 1841758802 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyRegistered NurseNursing Service Providers
Taxonomy Code163W00000X
License Licensed in IL · 041402463
Definition

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

Also ListedNurse PractitionerTaxonomy 363L00000X · License 209020422 (IL)
516 E NIZHONI BLVD, Gallup, NM 87301

Secondary Practice Location 1

Location 1525 E Grant StMacomb, IL 61455-3318 · Phone (309) 833-4101

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Orthopaedic Surgery
516 E NIZHONI BLVD
GALLUP, NM 87301
Internal Medicine
516 E NIZHONI BLVD
GALLUP, NM 87301
Obstetrics & Gynecology
516 E NIZHONI BLVD
GALLUP, NM 87301
Pediatrics
516 E NIZHONI BLVD
GALLUP, NM 87301
Radiology (Diagnostic Radiology)
516 E NIZHONI BLVD
GALLUP, NM 87301
Pharmacist
516 E NIZHONI BLVD
GALLUP, NM 87301
Family Medicine
516 E NIZHONI BLVD
GALLUP, NM 87301
Family Medicine
516 E NIZHONI BLVD
GALLUP, NM 87301

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1841758802, enumerated as an "individual" on March 08, 2019.

The provider is located at 516 E NIZHONI BLVD GALLUP, NM 87301 and the phone number is (505) 722-1000.

Registered Nurse with taxonomy code 163W00000X.