Healthcare Provider Details

I. General information

NPI: 1558287219
Provider Name (Legal Business Name): JAQUELINE DE OLIVEIRA BARBOSA NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/26/2026
Last Update Date: 09/03/2026
Certification Date: 09/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 PARNASSUS AVE FL 4
SAN FRANCISCO CA
94143-2202
US

IV. Provider business mailing address

144 SOUTHCREEK CIR
FOLSOM CA
95630-1511
US

V. Phone/Fax

Practice location:
  • Phone: 415-353-2421
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberNP95041059
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number95337541
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: