Individual
JACQUELINE AUDREYMENIA POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2215 TRUXTUN AVE, BAKERSFIELD, CA 93301-3602
(661) 632-5000
Mailing address
PO BOX 22410, BAKERSFIELD, CA 93390-2410
(502) 619-2464
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
41012
KY
207L00000X
Anesthesiology Physician
Primary
47944
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000521683
ANTHEM/BCBS
KY
Enumeration date
06/23/2005
Last updated
01/23/2025
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