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Individual
JACQUELINE MARIE CARREJO
Active
Individual
JACQUELINE MARIE CARREJO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN-CNP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
780173
TX
207Q00000X
Family Medicine Physician
1131337
TX
208D00000X
General Practice Physician
1131337
TX
363LA2100X
Acute Care Nurse Practitioner
1131337
TX
363LF0000X
Family Nurse Practitioner
Primary
1131337
TX
363LF0000X
Family Nurse Practitioner
Primary
F07230347
TX
Other
Enumeration date
07/11/2023
Last updated
05/19/2026
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