Individual provider · NPI-1

Jacquelyn A Blackstone, DO

Obstetrics & Gynecology, Maternal & Fetal Medicine · Albuquerque, NM

NPI number1023168358
StatusActive
Last updated in NPPESOct 29, 2025

Details

NPI
1023168358
Entity type
Individual (NPI-1)
Name
Jacquelyn A Blackstone
Credential
DO
Sex
Female
Sole proprietor
No
Enumeration date
Jan 11, 2007
Certification date
Oct 29, 2025
Last updated
Oct 29, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207VM0101X Obstetrics & Gynecology, Maternal & Fetal MedicineA-1954-16NMYes

Practice location

4701 Montgomery Blvd Ne
Albuquerque, NM 87109-1219

Phone 505-727-6853

Mailing address

4101 Indian School Rd Ne Ste 110
Albuquerque, NM 87110-3991

Other practice locations

2211 Lomas Blvd Ne
Albuquerque, NM 87106-2719

Phone 505-272-3120 · Fax 505-272-8060

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