Individual
JAQUELINE FERNANDEZ-QUEZADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
3450 ZAFARANO DR UNIT C, SANTA FE, NM 87507-2669
(505) 466-5885
Mailing address
4408 SANTA LUCIA, SANTA FE, NM 87507-7401
(505) 231-4105
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CNP-53942
NM
Other
Enumeration date
10/01/2018
Last updated
10/01/2018
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