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NPI Code Detail

MEDICARE: JACQUELINE BALACHANDRAN NP

MEDICARE:   JACQUELINE  BALACHANDRAN  NP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse PractitionerSP034585PA
2363LF0000XFamily Nurse Practitioner22885CA

General Provider Information

NPI Number : 1588907596
Entity Type Code : Individual
Provider Name (Legal Business Name) : JACQUELINE BALACHANDRAN NP
Provider Business Mailing Address
First Line : 7157 MARY PECK BOND PL
Second Line :
City : PITTSBURGH
State : PA
Zip : 15206-1236
Country : US
Telephone Number : 412-661-2802
Fax Number :
Provider Business Practice Location Address
First Line : 7157 MARY PECK BOND PL
Second Line :
City : PITTSBURGH
State : PA
Zip : 15206-1236
Country : US
Telephone Number : 412-661-2802
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/28/2013
Last Update Date : 03/10/2026

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Directions to “ JACQUELINE BALACHANDRAN NP” Practice Location

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