Justin R. Ennis
Emergency Medicine · Portales, NM
UnclaimedNPI 1023527314
- Primary taxonomy
- 207PS0010X
- Enumerated
- 2017-09-29
- Practice location
- Portales, NM
- Last NPPES update
- 2017-09-29
State licenses
- NM · Physician · NPPES self-reportedListed on NPI record
“Listed on NPI record” means the provider reported this license to NPPES; other statuses come from the state board’s public records as of the last import. License numbers are not shown.
Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.