Individual provider · NPI-1

Jacqueline Tolentino Andres, RN

Nurse Practitioner, Family · Phoenix, AZ

NPI number1780341925

StatusActive

Last updated in NPPESFeb 12, 2023

Details

NPI: 1780341925
Entity type: Individual (NPI-1)
Name: Jacqueline Tolentino Andres
Credential: RN
Sex: Female
Sole proprietor: No
Enumeration date: Nov 23, 2021
Certification date: Feb 12, 2023
Last updated: Feb 12, 2023

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
363LF0000X	Nurse Practitioner, Family	283573	AZ	Yes
163WG0000X	Registered Nurse, General Practice	120106	AZ

Other names

Jacqueline Jao Tolentino (Former Name)

Practice location

650 E Indian School Rd
Phoenix, AZ 85012-1839

Phone 602-277-5551

Mailing address

1305 N Martin Ave
Tucson, AZ 85721-0001

Phone 520-626-6154

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