JESSICA M ALDERETE CPNP-AC NPI 1750907770

NPI Information

NPI: 1750907770
Provider Name: JESSICA M ALDERETE, CPNP-AC
Classification: Nurse Practitioner - 363LP0200X
Entity Type: Individual

Specialization: Pediatrics

PECOS Registration: Yes

Address:
200 W WILSHIRE BLVD STE A
ROSWELL, NM
ZIP 88201
Phone: (575) 622-5956
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Jessica M Alderete, CPNP-AC is a pediatrics nurse practitioner in Roswell, NM. Jessica M Alderete, CPNP-AC NPI is 1750907770. The provider is registered as an individual entity type and is a multi-specialty group.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

200 W WILSHIRE BLVD STE A
ROSWELL, NM
ZIP 88201-627
Phone: (575) 622-5956

The NPI 1750907770 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 6/25/2020 and was last updated on 4/13/2021.

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	363LP0200X	Nurse Practitioner	Pediatrics	AP145919	TEXAS	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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