Individual
JACLYN MCALESTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
201 CEDAR ST SE STE 7600, ALBUQUERQUE, NM 87106-4921
(505) 563-2500
Mailing address
PO BOX 26666, PROVIDER ENROLLMENT, ALBUQUERQUE, NM 87125-6666
(505) 923-6770
(505) 923-5354
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
CNP-02473
NM
363LA2100X
Acute Care Nurse Practitioner
CNP-02473
NM
363LG0600X
Gerontology Nurse Practitioner
CNP-02473
NM
Other
Enumeration date
07/22/2014
Last updated
11/17/2021
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