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

Jesse Ferrell, IDMT

Individual provider Independent Duty Medical Technicians · NPI 1215638101

Jesse Ferrell, IDMT is an Independent Duty Medical Technicians in Cannon AFB, New Mexico. Practices as a sole proprietor. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

224 W Dl Ingram Ave Bldg 1408
Cannon AFB, NM 88101
Phone: (575) 784-8512
Show map & directions

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

Specialties & licences

Independent Duty Medical Technicians (primary) Taxonomy 1710I1003X

Record details

NPI number1215638101
Entity typeIndividual (Type 1)
GenderMale
Credentials IDMT
Sole proprietorYes
NPI enumeratedMarch 16, 2023
Last updated in NPPESJanuary 17, 2025
Certification dateJanuary 16, 2025
Mailing address224 W D.L. Ingram Ave, Bldg 1408, Cannon Afb, NM 88103

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