Individual
JACQUELINE ESTRADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1 MEMORIAL DR, ALTON, IL 62002-6722
(618) 463-7311
Mailing address
515 W KINKEAD RD, HILLSBORO, IL 62049-2231
(618) 767-0659
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
209032715
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/09/2023
Last updated
02/18/2026
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