MS. JACQUELINE TAMMY MAC R.N.
NPI 1043493588
Registered Nurse - Case Management in San Jose, CA

Q: What is the provider's specialty?

The provider's specialty is Registered Nurse with taxonomy code 163WC0400X and a focus in Case Management.

Active since December 06, 2007

614 TULLY RD, SAN JOSE, CA 95111(408) 494-1542(408) 494-1557 Get Directions Write a Review

NPPES record last updated: December 6, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Ms. Jacqueline Tammy Mac R.n. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. JACQUELINE TAMMY MAC R.N. (NPI 1043493588) is an individual case management provider in San Jose, California, licensed in California (418458) and active in the NPI registry since December 2007.

NPPES Registry Identity

NPI1043493588

Entity TypeIndividualFemale

Primary Taxonomy163WC0400X

Provider Legal NameMS. JACQUELINE TAMMY MACCredential: R.N.

Location Address614 TULLY RDSan Jose, CA 95111-1048

Mailing Address614 Tully RdSan Jose, CA 95111-1048 · (408) 494-1542 · Fax (408) 494-1557

Phone(408) 494-1542

Fax(408) 494-1557

Sole ProprietorNo

Enumeration DateDecember 6, 2007

✔ NPI 1043493588 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered Nurse · Case ManagementNursing Service Providers

Taxonomy Code163WC0400X

License✔ Licensed in CA · 418458

614 TULLY RD, San Jose, CA 95111

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