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JACQUELINE ALISIA VIOLET BENNETT RN
NPI 1619830619
Registered Nurse in Gallup, NM

Active since December 05, 2025
345 BASILEO DR, GALLUP, NM 87301(505) 721-1800(505) 721-1899 Get Directions Write a Review

NPPES record last updated: December 5, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jacqueline Alisia Violet Bennett Rn NPPES

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

JACQUELINE ALISIA VIOLET BENNETT RN (NPI 1619830619) is an individual registered nurse in Gallup, New Mexico, licensed in New Mexico (64532) and active in the NPI registry since December 2025.

NPPES Registry Identity

NPI1619830619
Entity TypeIndividualFemale
Primary Taxonomy163W00000X
Provider Legal NameJACQUELINE ALISIA VIOLET BENNETTCredential: RN
Location Address345 BASILEO DRGallup, NM 87301-4655
Mailing Address345 Basileo DrGallup, NM 87301-4655 · (505) 721-1800 · Fax (505) 721-1899
Phone(505) 721-1800
Fax(505) 721-1899
Sole ProprietorNo
Enumeration DateDecember 5, 2025
NPPES CertifiedDecember 5, 2025
✔ NPI 1619830619 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered NurseNursing Service Providers
Taxonomy Code163W00000X
License✔ Licensed in NM · 64532
Definition
(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.
345 BASILEO DR, Gallup, NM 87301
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Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TARA LEONA SOLAND RN
Registered Nurse
345 BASILEO DR
GALLUP, NM 87301
McKinley County (505) 721-1800
MRS. SHAFFONE TALKALAI
Licensed Practical Nurse
345 BASILEO DR
GALLUP, NM 87301
McKinley County (505) 721-1833
HOLLY ANN KNOX M.S. CCC-SLP
Speech-Language Pathologist
345 BASILEO DR
GALLUP, NM 87301
McKinley County (505) 721-1800
ASHLEY JOLYNN WARD BSN RN
Registered Nurse (School)
345 BASILEO DR
GALLUP, NM 87301
McKinley County (505) 721-1800

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacqueline Bennett's NPI number?

The NPI number for Jacqueline Bennett is 1619830619. It was assigned to this individual provider in the NPPES registry on December 5, 2025.

Where is Jacqueline Bennett located?

Jacqueline Bennett practices at 345 Basileo Dr, Gallup, NM 87301. The listed phone number is (505) 721-1800.

What is Jacqueline Bennett's specialty?

The primary specialty registered for this NPI is Registered Nurse with taxonomy code 163W00000X.

When was this NPI record last updated?

The NPPES record for Jacqueline Bennett was last updated on December 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.