Roseann Jacks, CPNP-PC

Individual Active
NPI 1225746795
Pediatric Nurse Practitioner Albuquerque, NM

NPI 1225746795 belongs to Roseann Jacks, CPNP-PC, a pediatric nurse practitioner with a practice location in Albuquerque, NM. The NPI was issued on November 14, 2022, and the record was last updated in NPPES on November 2, 2026. The record lists 2 taxonomy codes. One additional practice location is listed.

Taxonomies and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200X 90358 (NM)
Case Management Registered Nurse 163WC0400X R49577 (NM)

Practice locations

2211 Lomas Blvd NE
Albuquerque, NM 87106-2719
Phone: (505) 272-5928
8308 Constitution Pl NE
Albuquerque, NM 87110-7637
Phone: (505) 883-9570

Local context

Active NPPES records list 59 providers with pediatric nurse practitioner as the primary taxonomy within 25 miles of this practice location's ZIP code, 56 of them within 10 miles.

The same primary taxonomy is listed by 114 in New Mexico and 24,071 nationwide.

These are counts from NPPES records, not a ranking or recommendation. Distances are measured between ZIP code centers, not street addresses.

Record history

Name on record
Roseann Jacks
Status
Active
NPI issued
Last updated in NPPES

Is this your record? Updates are made through NPPES, the official National Plan and Provider Enumeration System.

NPPES data as of · Source: CMS NPPES

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