Healthcare Provider Details

I. General information

NPI: 1982288783
Provider Name (Legal Business Name): JOCELYNNE N MCHENRY FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JOCELYNNE MARQUEZ

II. Dates (important events)

Enumeration Date: 05/07/2021
Last Update Date: 07/20/2026
Certification Date: 07/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 TIJERAS AVE NW STE 200
ALBUQUERQUE NM
87102-3252
US

IV. Provider business mailing address

400 TIJERAS AVE NW STE 200
ALBUQUERQUE NM
87102-3252
US

V. Phone/Fax

Practice location:
  • Phone: 888-562-5442
  • Fax:
Mailing address:
  • Phone: 888-562-5442
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number63667
License Number StateNM
# 2
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number63667
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: