Organization
AWARENESS INTEGRATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DEBRA JOY JACCARD CNP (OWNER)
(505) 228-2853
Entity
Organization
Contact information
Practice address
219 SIERRA DR SE, UNIT A, ALBUQUERQUE, NM 87108-2714
(505) 228-2853
Mailing address
806 PASEO DEL LAS GOLONDRINAS, BERNALILLO, NM 87004
(505) 228-2853
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
CNP-01762
NM
Other
Enumeration date
03/29/2012
Last updated
03/29/2012
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