NPI 1336233121 · live from the CMS NPI Registry
Jacqueline L Cromeans, CNP
Nurse Practitioner in Albuquerque, NM. National Provider Identifier 1336233121, active.
NPI record
| NPI | 1336233121 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner 363L00000X |
| Practice location | 715 Dr Martin Luther King Jr Ave Ne, Albuquerque, NM 87102 |
| Practice phone | 505-727-3040 |
| Mailing address | 715 Dr Martin Luther King Jr Ave Ne, Suite 102, Albuquerque, NM 87102 |
| Enumerated | October 3, 2006 |
| Last updated | January 13, 2015 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Emergency Medicine | 207P00000X | R49381 (NM) |
| Nurse Practitioner primary | 363L00000X | CNP01224 (NM) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.