Provider Demographics
NPI:1821880618
Name:FERRANTI, JENNY NICOLE
Entity type:Individual
Prefix:
First Name:JENNY
Middle Name:NICOLE
Last Name:FERRANTI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1313 E 32ND ST
Mailing Address - Street 2:
Mailing Address - City:SILVER CITY
Mailing Address - State:NM
Mailing Address - Zip Code:88061-7251
Mailing Address - Country:US
Mailing Address - Phone:575-538-4000
Mailing Address - Fax:
Practice Address - Street 1:3202 N RIDGE LOOP DR
Practice Address - Street 2:
Practice Address - City:SILVER CITY
Practice Address - State:NM
Practice Address - Zip Code:88061-7242
Practice Address - Country:US
Practice Address - Phone:575-342-2953
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-19
Last Update Date:2025-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM080481405300000X
NM4321374U00000X
NM3210174H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174H00000XOther Service ProvidersHealth Educator
No405300000XOther Service ProvidersPrevention Professional
No374U00000XNursing Service Related ProvidersHome Health Aide