Individual provider · Type 1 NPI
Jaclyn Michelle Fike-Taveras, AGACNP
Acute Care Nurse Practitioner · El Paso, TX
NPI number
1679347975
Active
Practice location
6004 Balcones Ct
El Paso, TX 79912-3319
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 1140696 (TX) |
| Acute Care Nurse Practitioner Primary | 363LA2100X | 1140696 (TX) |
Acute Care Nurse Practitioner: Definition to come...
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About NPI 1679347975
Jaclyn Michelle Fike-Taveras, AGACNP's National Provider Identifier is 1679347975, issued on Nov 8, 2023. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in El Paso, TX. The record was last updated on Nov 8, 2023.