Individual
MISS JACQUELINE VALDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1710 E SAUNDERS ST STE B290, LAREDO, TX 78041-5530
(956) 794-8880
(956) 794-8882
Mailing address
1710 E SAUNDERS ST STE B290, LAREDO, TX 78041-5530
(956) 949-0964
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP130877
TX
363LF0000X
Family Nurse Practitioner
AP130877
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
401610701
—
TX
Enumeration date
06/26/2017
Last updated
06/03/2024
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