NPI 1780341925 · live from the CMS NPI Registry
Jacqueline Tolentino Andres, RN
Nurse Practitioner, Family in Phoenix, AZ. National Provider Identifier 1780341925, active.
NPI record
| NPI | 1780341925 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Family 363LF0000X |
| Practice location | 650 E Indian School Rd, Phoenix, AZ 85012 |
| Practice phone | 602-277-5551 |
| Mailing address | 1305 N Martin Ave, Tucson, AZ 85721 |
| Enumerated | November 23, 2021 |
| Last updated | February 12, 2023 |
| Sole proprietor | No |
| Other names | Jacqueline Tolentino |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Family primary | 363LF0000X | 283573 (AZ) |
| Registered Nurse, General Practice | 163WG0000X | 120106 (AZ) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.