Individual provider · Type 1 NPI
Jacquelyn Sandoval, NP
Family Nurse Practitioner · Albuquerque, NM
NPI number
1891514725
Active
Practice location
5850 Eubank Blvd NE Ste B 32
Albuquerque, NM 87111
Mailing address
14671 Telegraph Rd
Redford, MI 48239-3300
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 79545 (NM) |
| Family Nurse Practitioner | 363LF0000X | ARNP.AP.70142528-NP (WA) |
| Nurse Practitioner | 363L00000X | 79545 (NM) |
Family Nurse Practitioner: Definition to come...
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About NPI 1891514725
Jacquelyn Sandoval, NP's National Provider Identifier is 1891514725, issued on Oct 8, 2024. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Albuquerque, NM. The record was last updated on Jul 14, 2026.