Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jenifer Ann Deziel, APNP

Individual provider Nurse Practitioner · NPI 1336589969

Jenifer Ann Deziel, APNP is a Nurse Practitioner in Reserve, New Mexico. Qualified in 2012, 14 years ago. Accepts Medicare assignment. Licensed in New Mexico.

Years since qualifying
14
Licensed in
NM
In the registry since
2013

Practice location Address checks out

1 Foster Ln
Reserve, NM 87830
Phone: (575) 277-9562
Fax: (575) 533-6313
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 57338 (NM)

Record details

NPI number1336589969
Entity typeIndividual (Type 1)
GenderFemale
Credentials APNP
Sole proprietorNo
NPI enumeratedJune 27, 2013
Last updated in NPPESApril 7, 2026
Certification dateApril 7, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Reserve