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NPI Code Detail

MEDICARE: JACQUELINE O'LEARY ALKIRE NP

MEDICARE: JACQUELINE O'LEARY ALKIRE 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
1363LA2200XAdult Health Nurse Practitioner8785CA

General Provider Information

NPI Number : 1902890114
Entity Type Code : Individual
Provider Name (Legal Business Name) : JACQUELINE O'LEARY ALKIRE NP
Provider Business Mailing Address
First Line : 1425 S MAIN ST
Second Line :
City : WALNUT CREEK
State : CA
Zip : 94596-5318
Country : US
Telephone Number : 925-295-4455
Fax Number :
Provider Business Practice Location Address
First Line : 1425 S MAIN ST
Second Line :
City : WALNUT CREEK
State : CA
Zip : 94596-5318
Country : US
Telephone Number : 925-295-4455
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/01/2005
Last Update Date : 01/03/2022

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