Jodi A. Dettman
CNP | Nurse Practitioner - Adult Health | 19+ years Exp
104 Quail Trl Unit B, Edgewood
New Mexico, 87015-7185
505-208-0204
Jodi A. Dettman is a Edgewood, New Mexico based nurse practitioner with 19 years of experience in Adult Health. She completed her graduation in 2006. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Jodi A. Dettman is CNP01152 for Adult Health in New Mexico. Her current practice location is 104 Quail Trl Unit B, Edgewood. Patients can reach her at 505-208-0204. Jodi A. Dettman is CNP with specialization in Adult Health and her NPI number (Unique professional ID assigned by NPPES) is 1720269178.
Jodi A. Dettman can evaluate, diagnose patients overall wellness, and conditions such as cancer, heart disease, diabetes, arthritis, sports injuries, and other ailments. She can see patients and promote healthy living and wellness. She can perform physical examinations, order and interpret tests, prescribe medications and treatments, and can also provide education and counseling to patients on wellness strategies and disease prevention.
Complete Profile:
Jodi A. Dettman speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Jodi A. Dettman |
| Specialization: | Adult Health Nurse Practitioner (ANP) |
| Gender: | Female |
| Credentials: | CNP |
| Experience: | 19+ years |
| Medical School Attended: | Other |
| Graduation Year: | 2006 |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 104 Quail Trl Unit B, Edgewood,
New Mexico, 87015-7185 |
| Phone: | 505-208-0204 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 4082791702 |
| Enrollment ID: | I20080404000716 |
| NPI Number: | 1720269178 |
| NPI Enumeration Date: | 14 Nov, 2007 |
| NPI Last Update On: | 04 May, 2018 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jodi A. Dettman are as mentioned below.
| License Number | Specialization | State | Status | |
| CNP01152 | Adult Health | New Mexico | Primary | |
Hospital Affiliation:
NPs can be affiliated to many hospitals whom they worked with in the past or are presently working with. One NP can be affiliated to four to five hospitals at a time.
| Hospital Name (CCN) | State | Hospital Type |
| (320017) | Albuquerque, NM | Acute Care Hospital |
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Jodi A. Dettman is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| East Mountain Medical Llc (6800157157) | 6 |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Jodi A. Dettman
104 Quail Trl Unit B,
Edgewood, New Mexico |
| Zip: | 87015-7185 |
| Phone Number: | 505-208-0204 |
Patients can reach Jodi A. Dettman at
104 Quail Trl Unit B, Edgewood, New Mexico or can
call to book an appointment on 505-208-0204.
Comments/ Reviews:
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.