JACQUELINE NICOLE BENAVIDEZ

ALBUQUERQUE, NM
NPI1235883430
Former NameJACQUELINE NICOLE LUCERO
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: NM  65250)
Enumeration Date2022-02-07
Last Update Date2022-06-03
Business Address
JACQUELINE NICOLE BENAVIDEZ APRN-CNP
6709 ACADEMY RD NE STE B
ALBUQUERQUE, NM 87109-3363
Phone number: 505-977-2135
Mailing Address
JACQUELINE NICOLE BENAVIDEZ APRN-CNP
1620 N MAIN ST
SPANISH FORK, UT 84660-1008
Phone number: 801-822-2234