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NPI Code Detail

MEDICARE: DR. JACQUELYN ELIZABETH ALVARADO DNP, RN, CNM

MEDICARE: DR. JACQUELYN ELIZABETH ALVARADO DNP, RN, CNM
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
1367A00000XAdvanced Practice MidwifeAP128514TX

General Provider Information

NPI Number : 1528430410
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JACQUELYN ELIZABETH ALVARADO DNP, RN, CNM
Provider Business Mailing Address
First Line : PO BOX 732973
Second Line :
City : DALLAS
State : TX
Zip : 75373-2973
Country : US
Telephone Number : 817-702-2450
Fax Number : 817-702-8445
Provider Business Practice Location Address
First Line : 3455 PEACHTREE RD NE
Second Line :
City : ATLANTA
State : GA
Zip : 30326-3254
Country : US
Telephone Number : 914-919-9200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/30/2015
Last Update Date : 12/08/2025

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