Individual
JAQLYNN ANN PUENTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1610 S CHADBOURNE ST, SAN ANGELO, TX 76903-8510
(325) 658-5339
(325) 223-1480
Mailing address
2029 W BEAUREGARD AVE, SAN ANGELO, TX 76901-3812
(325) 658-5339
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1107557
TX
363LG0600X
Gerontology Nurse Practitioner
1107557
TX
Other
Enumeration date
01/17/2023
Last updated
04/14/2023
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