JACQUELINE M PINLAC


Address: 7830 N 23rd Ave, Phoenix, AZ 85021-6808
Phone: 6028669378

JACQUELINE M PINLAC (NPI# 1811410715) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1811410715
Entity Type Individual
Full Name JACQUELINE M PINLAC
Credential MSN, FNP- BC
Practice Address 7830 N 23rd Ave
Phoenix
AZ 85021-6808
Mailing Address 29011 N 51st Pl
Cave Creek
AZ 85331-3397
Practice Telephone 6028669378
Enumeration Date 2017-07-23
Last Update Date 2020-05-01
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207QA0401X Family Medicine
Specialization: Addiction Medicine
AP10440 AZ Allopathic & Osteopathic Physicians
Y 363LF0000X Nurse Practitioner
Specialization: Family
AP10440 AZ Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 7830 N 23RD AVE
City PHOENIX
State AZ
Zip Code 85021-6808

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1568970150 Alycia Ann Poloni Occupational Therapist 7129 N 23d Ave, Phoenix, AZ 85021 2018-01-17
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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1649895574 Jozzette Elaine Rubio Nurse Practitioner 1924 E Vineyard Rd, Phoenix, AZ 85042-5793 2020-06-16
1396360749 Ulivvo Inc. Nurse Practitioner 141 E Palm Lane, Suite 206, Phoenix, AZ 85004 2020-06-11
1568087955 Christa Ann Colvin Nurse Practitioner 6800 E Mayo Blvd Apt 1211, Phoenix, AZ 85054-5619 2020-06-10
1497378541 Sharon Uchechi Joshua Nurse Practitioner 9117 W Virginia Ave, Phoenix, AZ 85037-4233 2020-05-23
1992326102 Ashley Elizabeth Hall Nurse Practitioner 15810 N 18th St, Phoenix, AZ 85022-3302 2020-04-28
1750916797 Sebastian Freeman Smith Nurse Practitioner 2716 W Cedarwood Ln, Phoenix, AZ 85045-2224 2020-03-10
1295365724 Jessica Veasy Nurse Practitioner 7251 N 23rd Ave, Phoenix, AZ 85021-7714 2020-01-23
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Competitor

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City PHOENIX
Zip Code 85021

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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