Jacquelyn Jackson Duarte, RN, BSN, MPA, M.ED.

Primary specialty

School Registered NurseTaxonomy code 163WS0200X

License

RN043729 Issued in AZ

Practice address

5805 W Alameda Rd
Glendale, AZ 85310-3601

Phone

(623) 445-5510

Fax

(623) 445-5580

NPI assigned

Apr 13, 2007

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor on Science - Nursing, Master of Education, Registered Nurse

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1356565873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5805 W ALAMEDA RD",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853103601",
            "telephone_number": "623-445-5510",
            "fax_number": "623-445-5580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5805 W ALAMEDA RD",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853103601",
            "telephone_number": "623-445-5510",
            "fax_number": "623-445-5580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUARTE",
        "first_name": "JACQUELYN",
        "middle_name": "JACKSON",
        "name_prefix": "Mrs.",
        "credential": "RN, BSN, MPA, M.ED.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "AZ",
            "license": "RN043729",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Drip N Dash Mobile Solution LLC
• William E Drobnes, M D
• DSS Uniter, LLC
• Jenny Van Du
• Claudia Duarte
• Olivia Duarte
• Michael Lee Dubets, D.O.
• Caren Ducharme, L.AC.
• Lauren Ashley Duda, RDN
• Darcy Dudleston Bracamonte, LIAC, LPC

• School Registered Nurse in Glendale, AZ
• Providers in Glendale, AZ by specialty
• School Registered Nurse in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.