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Individual

MS. DEBRA JOY JACCARD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PMHNP-BC

Contact information

Practice address
4477 IRVING BLVD NW STE B, ALBUQUERQUE, NM 87114-5529
(505) 228-2853
(505) 998-7343
Mailing address
806 PASEO DE LAS GOLONDRINAS, BERNALILLO, NM 87004-5560

Taxonomy

Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
R51599
NM
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
CNO-01762
NM
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
CNP-01762
NM

Other

Enumeration date
05/04/2010
Last updated
09/08/2025
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