Jacquelyn A Blackstone
Gynecologist - Maternal & Fetal Medicine
2211 Lomas Blvd Ne
Albuquerque
, New Mexico 87106-2719
Jacquelyn A Blackstone
Gynecologist - Maternal & Fetal Medicine
2211 Lomas Blvd Ne
Albuquerque
, New Mexico 87106-2719
(505) 272-2255
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About
Features
Specialties
- Gynecologist - Maternal & Fetal Medicine
Languages spoken
- English
Location
First Address
- Jacquelyn A Blackstone
- 1 University Of New Mexico Msc 10 5580
- Albuquerque, NM
- Zip : 87131-0001
- Phone : (505) 272-2255
Second Address
- Jacquelyn A Blackstone
- 2211 Lomas Blvd Ne
- Albuquerque, NM
- Zip : 87106-2719
- Fax : (505) 272-8060
- Phone : (505) 272-3120
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | A-1954-16 | NM |
National Provider Identifier
| NPI | 1023168358 |
|---|---|
| Provider Name | Jacquelyn A Blackstone |
| First Address | Albuquerque, NM 87131-0001 |
| Second Address | Albuquerque, NM 87106-2719 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 11/01/2007 |
| Last Update Date | 13/06/2016 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 289980099 | (05) | ME |
| 30005994 | (05) | NH |
| F61902 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.