Individual
JACQUELINE CHRISTINE NEVAREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
8041 N MESA ST STE B2, EL PASO, TX 79932-1666
(915) 307-3870
(915) 581-2926
Mailing address
4521 BLISS AVE, EL PASO, TX 79903-3106
(915) 309-8082
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
852800
TX
363L00000X
Nurse Practitioner
Primary
1012264
TX
363LF0000X
Family Nurse Practitioner
1012264
TX
Other
Enumeration date
12/07/2020
Last updated
06/25/2021
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