Individual
MRS. JACQUELINE TUCKER CARDENAS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MSN, RN, FNP-C
Contact information
Practice address
7201 US HIGHWAY 64 E, KNIGHTDALE, NC 27545-9268
(919) 266-7600
Mailing address
317 COLLINSWORTH DR, CLAYTON, NC 27527-3936
(919) 553-7646
(919) 553-7646
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
201741
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0375652
ANCC FNP ID
—
01
—
51349
RN LICENSE
NC
01
—
NC201741
NC MEDICAL BOARD LICENSE
NC
Enumeration date
01/06/2006
Last updated
07/08/2007
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