MEDICARE: JACQUELINE HE

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
1	367H00000X	Anesthesiologist Assistant

General Provider Information

NPI Number	:	1821935016
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JACQUELINE HE

Provider Business Mailing Address
First Line	:	31760 TORTUGA SHORE LOOP
Second Line	:
City	:	WESLEY CHAPEL
State	:	FL
Zip	:	33545-3213
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1625 MEDICAL CENTER DR
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79902-5005
Country	:	US
Telephone Number	:	915-747-4000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/04/2026
Last Update Date	:	05/04/2026

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Directions to “ JACQUELINE HE ” Practice Location

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