Individual
JACQUELYN REEVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
2121 JUAN TABO BLVD NE, ALBUQUERQUE, NM 87112-3307
(505) 237-8800
Mailing address
PO BOX 26028, ALBUQUERQUE, NM 87125-6028
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CNP-01687
NM
Other
Enumeration date
11/04/2010
Last updated
05/23/2024
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