MS. DEBRA JOY JACCARD PMHNP-BC NPI 1033437876

NPI Information

NPI: 1033437876
Provider Name: MS. DEBRA JOY JACCARD, PMHNP-BC
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
2300 GRANDE BLVD SE STE A
PMS DBA PMS FAMILY HEALTH CENTER
RIO RANCHO, NM
ZIP 87124
Phone: (505) 962-6655
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MS. Debra Joy Jaccard, PMHNP-BC is a psychiatric/mental health nurse practitioner in Rio Rancho, NM. MS. Debra Joy Jaccard, PMHNP-BC NPI is 1033437876. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2300 GRANDE BLVD SE STE A
PMS DBA PMS FAMILY HEALTH CENTER
RIO RANCHO, NM
ZIP 87124-755
Phone: (505) 962-6655

The NPI 1033437876 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/4/2010 and was last updated on 4/7/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163WP0809X	Registered Nurse	Psychiatric/Mental Health, Adult	R51599	NEW MEXICO	No
2	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	CNP-01762	NEW MEXICO	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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