Jacqueline S Guinn, FNP-C
Nurse Practitioner in Albuquerque, NM. Individual provider (NPI-1).
NPI number1770067167
StatusActive
Last updated in NPPESMay 17, 2024
Details
- NPI
- 1770067167
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Jacqueline S Guinn
- Credential
- FNP-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 20, 2018
- Certification date
- May 10, 2024
- Last updated
- May 17, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | 54056 | NM | Yes |
| 207Q00000X | Family Medicine | 54056 | NM |
Other names
- Jacqueline S Montoya (Former Name)
Practice location
6701 Jefferson St NeAlbuquerque, NM 87109-4318
Phone 505-727-0600
Mailing address
6609 Kalgan Rd NeRio Rancho, NM 87144-3519
Phone 505-225-4654 · Fax 505-225-4654
Other practice locations
6609 Kalgan Rd Ne
Rio Rancho, NM 87144-3519
Rio Rancho, NM 87144-3519
Phone 505-225-4654
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