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

Jordan Ashley Ide

Individual provider Medical-Surgical Registered Nurse · NPI 1679188676

Jordan Ashley Ide is a Medical-Surgical Registered Nurse in Gallup, New Mexico. Licensed in New Mexico. Registered with an NPI since 2020.

Licensed in
NM
In the registry since
2020

Practice location Address checks out

516 E Nizhoni Blvd
Gallup, NM 87301-5748
Phone: (505) 722-1000
Show map & directions

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

Specialties & licences

Medical-Surgical Registered Nurse (primary) Taxonomy 163WM0705X · Licence 60565 (NM)

Record details

NPI number1679188676
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 15, 2020
Last updated in NPPESSeptember 15, 2020
Certification dateSeptember 15, 2020
Mailing address516 E Nizhoni Blvd, Gallup, NM 87301-5748

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