Provider Demographics
NPI:1528430410
Name:ALVARADO, JACQUELYN ELIZABETH (DNP, RN, CNM)
Entity type:Individual
Prefix:DR
First Name:JACQUELYN
Middle Name:ELIZABETH
Last Name:ALVARADO
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Gender:F
Credentials:DNP, RN, CNM
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Mailing Address - Street 1:PO BOX 732973
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75373-2973
Mailing Address - Country:US
Mailing Address - Phone:817-702-2450
Mailing Address - Fax:817-702-8445
Practice Address - Street 1:3108 MIDWAY RD
Practice Address - Street 2:SUITE 100
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093-6383
Practice Address - Country:US
Practice Address - Phone:972-608-0900
Practice Address - Fax:972-608-8989
Is Sole Proprietor?:No
Enumeration Date:2015-10-30
Last Update Date:2019-10-29
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Provider Licenses
StateLicense IDTaxonomies
TXAP128514367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife