Search › New Mexico › 101YA0400X
Michelle Jacquez
NPI 1487358131 · on the registry since 2023
Practice
- Address
- 13139 Central Ave Ne
Albuquerque, NM 87123 - Phone
- (505) 595-1607
- Organisation at this address
- Epic Pathway Llc
Grand Summit LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 117
Additional practice sites
- 601 Gold Ave Sw # 102, Albuquerque, NM
Registry record
- Primary taxonomy
- 101YA0400X
101YA0400X
- Also registered as
- 101Y00000X
- Licence states on file
- NM
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-12-23
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Mexico