National Provider Identifier
Jacqueline R Cruz
Jacqueline R Cruz is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Jamestown, NY and a listed phone number of (716) 640-4708.
Profile Overview
- NPI
- 1730782145
- Provider Type
- Individual
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- November 18, 2020
- Last Updated
- November 18, 2020
Practice Location
- 17 Columbia Ave Apt 2
- Jamestown, NY 14701-6717
Phone: (716) 640-4708
Specialties
- Licensed Practical Nurse (164W00000X)
Full Record
- NPI
- 1730782145
- Entity Type
- Individual
- Last Name
- Cruz
- First Name
- Jacqueline
- Middle Name
- R
- Name Prefix
- Miss
- Mailing Street Address
- 17 Columbia Ave Apt 2
- Mailing City
- Jamestown
- Mailing State
- NY
- Mailing ZIP Code
- 14701-6717
- Mailing Country
- US
- Mailing Phone
- (716) 640-4708
- Practice Street Address
- 17 Columbia Ave Apt 2
- Practice City
- Jamestown
- Practice State
- NY
- Practice ZIP Code
- 14701-6717
- Practice Country
- US
- Practice Phone
- (716) 640-4708
- Enumeration Date
- November 18, 2020
- Last Updated
- November 18, 2020
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- November 16, 2020
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Licensed Practical Nurse (164W00000X)