Individual
JACQUELINE BLIVEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5718 SPOHN DR STE 100, CORPUS CHRISTI, TX 78414-4265
(361) 980-0808
(361) 980-0088
Mailing address
6101 BLUE LAGOON DR STE 200, MIAMI, FL 33126-3168
(407) 533-6836
(407) 770-0661
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1097441
TX
Other
Enumeration date
10/31/2022
Last updated
04/07/2026
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