Individual
JACLYN TRIPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13139 CENTRAL AVE NE, ALBUQUERQUE, NM 87123-3031
(505) 595-1607
Mailing address
13139 CENTRAL AVE NE, ALBUQUERQUE, NM 87123-3031
(505) 595-1607
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
172V00000X
Community Health Worker
Primary
—
NM
Other
Enumeration date
09/05/2023
Last updated
04/21/2026
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