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

Jonathan Redd

Individual provider Family Nurse Practitioner · NPI 1366918963

Jonathan Redd is a Family Nurse Practitioner in Portales, New Mexico. Licensed in New Mexico. Registered with an NPI since 2018.

Licensed in
NM
In the registry since
2018

Practice location Address checks out

1515 W Fir St
Portales, NM 88130-5703
Phone: (575) 356-6695
Fax: (575) 356-5948
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 53956 (NM)

Record details

NPI number1366918963
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 22, 2018
Last updated in NPPESOctober 22, 2018
Mailing addressPo Box 843, Portales, NM 88130-0843

Other providers in Portales